Individual provider Active NPI

Faiz A Khan, MD

  • Emergency Medicine Physician
  • Dix Hills, NY
National Provider Identifier
1013975234
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
211517 Issued in NY
Practice address
101 Long Drive CT
Dix Hills, NY 11746-5826
Phone
(516) 426-9086
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 211517 NY
Emergency Medicine Physician 207P00000X 211517 NY Primary

Addresses

Primary practice location

101 Long Drive CT
Dix Hills, NY 11746-5826

Mailing address

Nassau University Med. Ctr. 2201 Hempstead TPK
Medical Staff Office Box 42
East Meadow, NY 11554-0854
Phone (516) 572-6175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151029000140 NJ Practitioner - Emergency Medicine 4486674538 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
211517NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physician Associates of South Jersey P C Emergency Medicine CurrentSince Nov 1, 2017 Accepting new patients
Khan Medical PC Internal Medicine Current Accepting new patients
Siena Emergency Medical Services, P.C. Emergency Medicine Past Accepting new patients

Locations

100 Townsend Ave
Berlin, NJ 08009
Phone (856) 322-3000

90 Brick Rd
Marlton, NJ 08053
Phone (856) 355-6040

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1013975234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NASSAU UNIVERSITY MED. CTR. 2201 HEMPSTEAD TPK",
            "address_2": "MEDICAL STAFF OFFICE BOX 42",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115540854",
            "telephone_number": "516-572-6175",
            "fax_number": "516-572-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LONG DRIVE CT",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465826",
            "telephone_number": "516-426-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "FAIZ",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "211517",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "211517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dix Hills, NY

Sources for this page

Verify at the official NPI Registry.