KAH LOON WAN FNP
NPI 1194308189
Nurse Practitioner - Family in Staten Island, NY

Active since April 28, 2021
358 NEW DORP LN FL 1, STATEN ISLAND, NY 10306(718) 980-6688 Get Directions Write a Review

NPPES record last updated: May 2, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 2, 2026, Nov 9, 2021, May 10, 2021 and 1 more (4 updates tracked since 2021).

About Kah Loon Wan Fnp NPPES

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

KAH LOON WAN FNP (NPI 1194308189) is an individual family provider in Staten Island, New York, licensed in New York (347224) and active in the NPI registry since April 2021. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194308189
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKAH LOON WANCredential: FNP
Location Address358 NEW DORP LN FL 1Staten Island, NY 10306-3035
Mailing Address358 New Dorp Ln Fl 1Staten Island, NY 10306-3035 · (718) 980-6688
Sole ProprietorNo
Enumeration DateApril 28, 2021
Last NPPES UpdateMay 2, 20264 updates tracked since enumeration
NPPES CertifiedMay 2, 2026
NPI 1194308189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 347224
358 NEW DORP LN FL 1, Staten Island, NY 10306

Secondary Practice Locations 2

Location 1762 59th St Ste 7Brooklyn, NY 11220-3920 · Phone (917) 338-6688
Location 22481 86th StBrooklyn, NY 11214-4448 · Phone (929) 630-6688

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 Kah Loon Wan's NPI number?

The NPI number for Kah Loon Wan is 1194308189. It was assigned to this individual provider in the NPPES registry on April 28, 2021.

Where is Kah Loon Wan located?

Kah Loon Wan practices at 358 New Dorp Ln Fl 1, Staten Island, NY 10306. The listed phone number is (718) 980-6688.

What is Kah Loon Wan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kah Loon Wan was last updated on May 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.