Organization Active NPI

Dr. Javaid Iftikhar, DNP, NP in Psychiatry and Family Health PLLC

  • Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1003573494
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DR. JAVAID IFTIKHAR, DNP, NP IN PSYCHIATRY AND FAMILY HEALTH PLLC
Practice address
2216 Kimball St # At6M
Brooklyn, NY 11234-5111
Phone
(718) 743-0610
NPI assigned
Nov 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Javaid Hassan Iftikhar, DNPNPI 1245631332
Title
Owner
Phone
(718) 743-0610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X

Addresses

Primary practice location

2216 Kimball St # At6M
Brooklyn, NY 11234-5111

Mailing address

2216 Kimball St # At6M
Brooklyn, NY 11234-5111
Phone (718) 743-0610

Other practice location 1

8675 Bay Pkwy
Brooklyn, NY 11214-4186
Phone (929) 336-7707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240102001446 NY Part B Supplier - Clinic/Group Practice 8729438866 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1003573494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 KIMBALL ST # AT6M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345111",
            "telephone_number": "718-743-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 KIMBALL ST # AT6M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345111",
            "telephone_number": "718-743-0610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8675 Bay Pkwy",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112144186",
            "country_code": "US",
            "telephone_number": "929-336-7707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. JAVAID IFTIKHAR, DNP, NP IN PSYCHIATRY AND FAMILY HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-20",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "IFTIKHAR",
        "authorized_official_first_name": "JAVAID",
        "authorized_official_middle_name": "HASSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-743-0610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.