KC MEDICAL SERVICES, PC – NPI #1053262790
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

KC MEDICAL SERVICES, PC is a provider located in NORTH BRUNSWICK TOWNSHIP, NJ. NPPES has assigned the NPI number 1053262790 to KC MEDICAL SERVICES, PC on February 09, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KC MEDICAL SERVICES, PC below.

NPI Profile for
KC MEDICAL SERVICES, PC

NPI Number
1053262790
Enumeration Date

(about 4 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KC MEDICAL SERVICES, PC
Primary location
1215 LIVINGSTON AVE STE 6A
NORTH BRUNSWICK TOWNSHIP, NJ 08902-3840
Phone: (732) 917-0600 Fax:
Mailing address
191 N WACKER DR STE 1800
CHICAGO, IL 60606-1631
Phone: Fax:
Organization Subpart
No
Authorized Official
KRISTEN MIRANDA
OWNER
Phone: (732) 917-0600
Updated
Certification Date
Feb 08, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.