KMJAN LLC NPI 1689651226

NPI Information

  • NPI: 1689651226
  • Provider Name: KMJAN, LLC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Address: 3765 RIVERDALE AVE
    SUITE 5
    RIVERDALE, NY
    ZIP 10463
  • Phone: (718) 601-4800

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NPI Details

KMJAN, LLC is a cardiovascular disease internal medicine in Riverdale, NY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. KMJAN, LLC NPI is 1689651226. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3765 RIVERDALE AVE
SUITE 5
RIVERDALE, NY
ZIP 10463-845
Phone: (718) 601-4800
Fax: (718) 601-6102

The provider's authorized official is Kung-ming Jan .
The authorized official title is Director and has the following contact phone number (718) 543-1877.

The enumeration date for this NPI number is 12/24/2005 and was last updated on 9/11/2025.

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
1207R00000XInternal Medicine122967NEW YORKNo
2207RC0000XInternal MedicineCardiovascular Disease122967NEW YORKYes

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
100592374MEDICAIDNEW YORK

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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