MR. EVAN ROSS KANTOR
NPI 1144738691
Registered Nurse in Lake Grove, NY

Active since January 18, 2018
21 BEAUMONT LN, LAKE GROVE, NY 11755(631) 707-5462 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 2, 2024, Nov 29, 2022, Jan 18, 2018 (3 updates tracked since 2018).

About Mr. Evan Ross Kantor NPPES

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

MR. EVAN ROSS KANTOR (NPI 1144738691) is an individual registered nurse in Lake Grove, New York, licensed in New York (850066-01) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1144738691
Entity TypeIndividualMale
Primary Taxonomy163W00000X
Provider Legal NameMR. EVAN ROSS KANTOR
Location Address21 BEAUMONT LNLake Grove, NY 11755-2736
Mailing Address21 Beaumont LnLake Grove, NY 11755-2736 · (631) 707-5462
Sole ProprietorYes
Enumeration DateJanuary 18, 2018
Last NPPES UpdateJuly 2, 20243 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
NPI 1144738691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in NY · 850066-01
Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

21 BEAUMONT LN, Lake Grove, NY 11755

Other Identifiers 2

Other1293728403NY · Unitedhealthcare-oxford
Other891120002NY · Nyship

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144738691, enumerated as an "individual" on January 18, 2018.

The provider is located at 21 BEAUMONT LN LAKE GROVE, NY 11755 and the phone number is (631) 707-5462.

Registered Nurse with taxonomy code 163W00000X.

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