Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Canaan Medical LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1023644218

Canaan Medical LLC is a Psychiatric/Mental Health Nurse Practitioner in Bronx, New York. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

661 Cauldwell Ave
Bronx, NY 10455-1503
Phone: (973) 342-5593
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1023644218
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Obi — Nurse · (973) 342-5593
NPI enumeratedMarch 19, 2020
Last updated in NPPESMarch 19, 2020
Certification dateMarch 19, 2020
Mailing address4 Somerset St Apt 3b, Newark, NJ 07103-4150

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