KINWELL MEDICAL SERVICES PC NPI 1447389630

NPI Information

  • NPI: 1447389630
  • Provider Name: KINWELL MEDICAL SERVICES, PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 33D1048362
  • Address: 41 BRUNSWICK ST FL 1
    STATEN ISLAND, NY
    ZIP 10314
  • Phone: (718) 983-0660

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NPI Details

KINWELL MEDICAL SERVICES, PC is a family medicine in Staten Island, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KINWELL MEDICAL SERVICES, PC NPI is 1447389630. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

41 BRUNSWICK ST FL 1
STATEN ISLAND, NY
ZIP 10314
Phone: (718) 983-0660

The provider's authorized official is Cherry Mar-chan .
The authorized official title is Vp and has the following contact phone number (718) 983-0660.

The CLIA number assigned to this NPI record is 33D1048362 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 11/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1102582OTHERNEW YORKAETNA HMO
202797482MEDICAIDNEW YORK
37629766OTHERNEW YORKAETNA PPO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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