JKAN GASTROENTEROLOGY PLLC
NPI 1093034688
Internal Medicine - Gastroenterology in New York, NY

Active since May 22, 2010
115 BROADWAY STE 1800, NEW YORK, NY 10006(212) 388-1062(212) 388-1063 Get Directions Write a Review

NPPES record last updated: March 15, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jkan Gastroenterology Pllc NPPES

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

JKAN GASTROENTEROLOGY PLLC (NPI 1093034688) is a healthcare organization registered as a gastroenterology in New York, New York and active in the NPI registry since May 2010. The organization maintains a secondary practice location in New York and lists Nancy Lau, Owner Physician, as its authorized official.

NPPES Registry Identity

NPI1093034688
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameJKAN GASTROENTEROLOGY PLLC
Location Address115 BROADWAY STE 1800New York, NY 10006
Mailing Address115 Broadway Ste 1800New York, NY 10006-1652 · (212) 388-1062 · Fax (212) 388-1063
Fax(212) 388-1063
Organization SubpartNo
Authorized OfficialNancy LauOwner Physician · (917) 607-7488
Enumeration DateMay 22, 2010
Last NPPES UpdateMarch 15, 2019
✔ NPI 1093034688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 197142
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
115 BROADWAY STE 1800, New York, NY 10006

Secondary Practice Location 1

Location 110 Union Sq E, Suite 5MNew York, NY 10003-3314 · Phone (212) 388-1062 · Fax (212) 388-1063

Other Identifiers 8

Other6823925NY · Cigna
Other7193492NY · Aetna
Other1338113NY · Ghi
Other776098PNY · Hip
Other7C4921NY · Healthnet
Other90R211NY · Empire Bc Bs
OtherP4130574NY · Oxford
Other2468205NY · Unitedhealthcare

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jkan Gastroenterology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jkan Gastroenterology PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gastroenterology
NPI 1144208794
139 CENTRE ST STE 511
New York, NY 10013
(212) 388-1062
✔ PECOS✔ Accepts Medicare0.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jkan Gastroenterology PLLC's NPI number?

The NPI number for Jkan Gastroenterology PLLC is 1093034688. It was assigned to this organization in the NPPES registry on May 22, 2010.

Where is Jkan Gastroenterology PLLC located?

Jkan Gastroenterology PLLC is located at 115 Broadway Ste 1800, New York, NY 10006. The listed phone number is (212) 388-1062.

What is Jkan Gastroenterology PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Jkan Gastroenterology PLLC enrolled in Medicare?

Yes. Jkan Gastroenterology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jkan Gastroenterology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to Jkan Gastroenterology PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jkan Gastroenterology PLLC was last updated on March 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.