Active NPIOrganization

Canaan Medical LLC

Nurse Practitioner, Psych/Mental Health in Bronx, New York

NPI Number1023644218
Practice location
661 Cauldwell Ave, Bronx, NY 10455-1503
Fax
—
Last updated
March 19, 2020

Canaan Medical LLC is a healthcare organization based in Bronx, NY. Canaan Medical LLC practices in Bronx, NY. The NPI Number for Canaan Medical LLC is 1023644218. The current practice location address for Canaan Medical LLC is 661 Cauldwell Ave, Bronx, NY 10455-1503 and can be reached out via phone at 973-342-5593.

Provider Profile Details

NPI Number
1023644218
Provider Name
Canaan Medical LLC
Provider Entity Type
Organization
Address
661 Cauldwell Ave, Bronx, NY 10455-1503
Phone Number
973-342-5593
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Organization Subpart
No
Authorized Official
Mr. Kevin A Obi, MLP NURSE PRACTIONER · Nurse · 973-342-5593
Provider Enumeration Date
March 19, 2020
Last Update Date
March 19, 2020
Certification Date
March 19, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
661 Cauldwell Ave
Bronx, NY 10455-1503
City
Bronx
Zip
10455-1503
Phone Number
973-342-5593
Bronx, NY 10455Get directions →

Provider Business Mailing Address Details

Address
4 Somerset St Apt 3B
Newark, NJ 07103-4150
City
Newark
State
NJ
Zip
07103-4150
Phone Number
973-342-5593

License Information

Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Canaan Medical LLC?

The NPI number of Canaan Medical LLC is 1023644218. It was assigned on March 19, 2020 and is currently active in the NPPES registry.

What is the specialty of Canaan Medical LLC?

Canaan Medical LLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).

Where does Canaan Medical LLC practice?

The practice location is 661 Cauldwell Ave, Bronx, NY 10455-1503. The office can be reached at 973-342-5593 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023644218 directly on the NPPES registry website.

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