Saboor Waizun Medical PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

239768 Issued in NY

Legal business name

SABOOR WAIZUN MEDICAL PC

Practice address

486 McDonald Ave
Brooklyn, NY 11218-3812

Phone

(718) 247-7226

Fax

(718) 558-0290

NPI assigned

Mar 18, 2008

Organization subpart

No

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

Authorized official

Name

Tina Malek, MANAGER

Title

Manager

Phone

(631) 413-4765

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 2

• Medsina Clinic Doing business as
• SABOOR WAIZUN PC Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Inamulhaque M Saboor, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1891867859
  Medicare reassignment NPD
• Munibur Rahman Khan, M.D.

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1477620466
  NPD (past)

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1033380902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8605 SANTIAGO ST",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114231117",
            "telephone_number": "646-623-2745",
            "fax_number": "718-558-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183812",
            "telephone_number": "718-247-7226",
            "fax_number": "718-558-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABOOR WAIZUN MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "MALEK",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "631-413-4765",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "239768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02880091",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1891867859",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medsina Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SABOOR WAIZUN PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenneth Sable, MD
• Daniela Sablon
• Erica Sabo, M.S. ED
• Esther Sabo
• Miriam Sabo
• Areeba Saboor, FNP
• Inamulhaque M Saboor, M.D.
• Nelya Saboshchuk, LMSW
• Jennifer Sabouni
• Nejra Sabovic

• Primary Care Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.