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KINWELL MEDICAL SERVICES, PC
NPI 1447389630
Family Medicine in Staten Island, NY

Active since March 05, 2007CLIA 33D1048362 · Waiver
41 BRUNSWICK ST FL 1, STATEN ISLAND, NY 10314(718) 983-0660 Get Directions Write a Review

NPPES record last updated: November 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kinwell Medical Services, Pc NPPES

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

KINWELL MEDICAL SERVICES, PC (NPI 1447389630) is a healthcare organization registered as a family medicine in Staten Island, New York and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through November 29, 2027, maintains a secondary practice location in Staten Island, and lists Cherry Mar-chan, Vp, as its authorized official.

NPPES Registry Identity

NPI1447389630
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKINWELL MEDICAL SERVICES, PC
Location Address41 BRUNSWICK ST FL 1Staten Island, NY 10314
Mailing Address41 Brunswick St Fl 1Staten Island, NY 10314-6017 · (718) 983-0660
Phone(718) 983-0660
Organization SubpartNo
Authorized OfficialCherry Mar-chanVp · (718) 983-0660
Enumeration DateMarch 5, 2007
Last NPPES UpdateNovember 11, 2019
✔ NPI 1447389630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
41 BRUNSWICK ST FL 1, Staten Island, NY 10314
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Secondary Practice Location 1

Location 11655 Richmond Ave, Suite EStaten Island, NY 10314-1570 · Phone (718) 983-0660

Other Identifiers 3

Other102582NY · Aetna Hmo
Medicaid02797482NY
Other7629766NY · Aetna Ppo

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1048362

Kinwell Medical Services PC · Staten Island, NY
Active · expires Nov 29, 2027
CLIA Number33D1048362
Laboratory TypePhysician Office
Certificate Effective DateNovember 30, 2025
Certificate Expiration DateNovember 29, 2027
Laboratory DirectorDr. Yeoman K. Chan
Laboratory Phone(718) 983-0660
Laboratory LocationKinwell Medical Services PC41 Brunswick Street - 1st Floor, Staten Island, NY 10314
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHERRY MAR-CHAN MD
Family Medicine
41 BRUNSWICK ST FL 1
STATEN ISLAND, NY 10314
Richmond County (718) 983-0660
DR. YEOMAN KIN-LUNG CHAN MD
Family Medicine
41 BRUNSWICK ST FL 1
STATEN ISLAND, NY 10314
Richmond County (718) 983-0660

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 Kinwell Medical Services, PC's NPI number?

The NPI number for Kinwell Medical Services, PC is 1447389630. It was assigned to this organization in the NPPES registry on March 5, 2007.

Where is Kinwell Medical Services, PC located?

Kinwell Medical Services, PC is located at 41 Brunswick St Fl 1, Staten Island, NY 10314. The listed phone number is (718) 983-0660.

What is Kinwell Medical Services, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Kinwell Medical Services, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1048362) is associated with this NPI, valid through November 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kinwell Medical Services, PC was last updated on November 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.