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CANAAN MEDICAL LLC
NPI 1023644218
Nurse Practitioner - Psychiatric/Mental Health in Bronx, NY

Active since March 19, 2020
661 CAULDWELL AVE, BRONX, NY 10455(973) 342-5593 Get Directions Write a Review

NPPES record last updated: March 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Canaan Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANAAN MEDICAL LLC (NPI 1023644218) is a healthcare organization registered as a psychiatric/mental health in Bronx, New York and active in the NPI registry since March 2020. The organization lists Kevin A Obi, Nurse, as its authorized official.

NPPES Registry Identity

NPI1023644218
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCANAAN MEDICAL LLC
Location Address661 CAULDWELL AVEBronx, NY 10455-1503
Mailing Address4 Somerset St Apt 3bNewark, NJ 07103-4150 · (973) 342-5593
Phone(973) 342-5593
Organization SubpartNo
Authorized OfficialKevin A ObiNurse · (973) 342-5593
Enumeration DateMarch 19, 2020
NPPES CertifiedMarch 19, 2020
✔ NPI 1023644218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
661 CAULDWELL AVE, Bronx, NY 10455
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Other Identifiers 1

Other1679062640NY · Nurse Practioner

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Canaan Medical LLC's NPI number?

The NPI number for Canaan Medical LLC is 1023644218. It was assigned to this organization in the NPPES registry on March 19, 2020.

Where is Canaan Medical LLC located?

Canaan Medical LLC is located at 661 Cauldwell Ave, Bronx, NY 10455. The listed phone number is (973) 342-5593.

What is Canaan Medical LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Canaan Medical LLC was last updated on March 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.