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DR. JAN KENNETH DAVIDSON MD PHD
NPI 1386894244
General Acute Care Hospital in New York, NY

Active since September 26, 2008PECOS Enrolled
1230 YORK AVE # 39, NEW YORK, NY 10065(212) 327-7858(212) 327-7319 Get Directions Write a Review

NPPES record last updated: September 26, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jan Kenneth Davidson Md Phd NPPES

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

DR. JAN KENNETH DAVIDSON MD PHD (NPI 1386894244) is an individual general acute care hospital provider in New York, New York, licensed in New York (250568) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386894244
Entity TypeIndividualMale
Primary Taxonomy282N00000X
Provider Legal NameDR. JAN KENNETH DAVIDSONCredential: MD PHD
Location Address1230 YORK AVE # 39New York, NY 10065-6307
Mailing Address1230 York Ave # 39New York, NY 10065-6307 · (212) 327-7858 · Fax (212) 327-7319
Phone(212) 327-7858
Fax(212) 327-7319
Sole ProprietorYes
Enumeration DateSeptember 26, 2008
✔ NPI 1386894244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in NY · 250568
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
1230 YORK AVE # 39, New York, NY 10065
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Other Names 1

Other Name (5)Dr. Jan Kenneth Davidson-moncada Md Phd

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jan Kenneth Davidson Md Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Jan Davidson's NPI number?

The NPI number for Jan Davidson is 1386894244. It was assigned to this individual provider in the NPPES registry on September 26, 2008. The provider is also known as Dr. Jan Kenneth Davidson-Moncada MD Phd.

Where is Jan Davidson located?

Jan Davidson practices at 1230 York Ave # 39, New York, NY 10065. The listed phone number is (212) 327-7858.

What is Jan Davidson's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Jan Davidson enrolled in Medicare?

Yes. Jan Davidson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jan Davidson was last updated on September 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.