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

NPI Status: Active since March 19, 2020

Contact Information

661 CAULDWELL AVE
BRONX, NY
ZIP 10455
Phone: (973) 342-5593

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  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About CANAAN MEDICAL LLC

This page provides the complete NPI Profile along with additional information for Canaan Medical Llc, a provider established in Bronx, New York operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1023644218 assigned on March 2020. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Kevin A Obi Mlp Nurse Practioner (Nurse)

NPI
1023644218
Provider Name
CANAAN MEDICAL LLC
Entity Type
Organization
Location Address
661 CAULDWELL AVE BRONX, NY 10455
Location Phone
(973) 342-5593
Mailing Address
4 SOMERSET ST APT 3B NEWARK, NJ 07103
Mailing Phone
(973) 342-5593
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-19-2020
Last Update Date
03-19-2020
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A nurse practitioner (NP) like Canaan Medical Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. KEVIN A OBI MLP NURSE PRACTIONER

Authorized Official Title
NURSE
Authorized Official Phone
(973) 342-5593

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1679062640OTHER (01)NYNURSE PRACTIONER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1023644218
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2043124822
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 1 + 2 + 4 + 8 + 2 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1023644218 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023644218, enumerated as an "organization" on March 19, 2020.

The provider is located at 661 CAULDWELL AVE BRONX, NY 10455 and the phone number is (973) 342-5593.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.