Endocrinology Professional of Ny, PC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

228656 Issued in NY

Legal business name

ENDOCRINOLOGY PROFESSIONAL OF NY, PC

Practice address

804 Meacham Ave
Elmont, NY 11003-4701

Phone

(516) 218-2500

Fax

(516) 218-2502

NPI assigned

Mar 5, 2015

Last updated

Apr 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Fauzia Syed-Khan, M.D.NPI 1043256928

Title

President

Phone

(718) 274-0105

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fauzia F Syed-Khan, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Astoria, NY
  • NPI 1043256928
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1033502703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 LOCUST ST",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481110",
            "telephone_number": "516-218-2500",
            "fax_number": "516-218-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 MEACHAM AVE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034701",
            "telephone_number": "516-218-2500",
            "fax_number": "516-218-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINOLOGY PROFESSIONAL OF NY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "SYED-KHAN",
        "authorized_official_first_name": "FAUZIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-274-0105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "228656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elmont RX Inc.
• Elmont RX Ny Inc
• Elmont Union Free School District
• Elmont Z Corp
• Emilian Ifeoma Emeagwali, DR PHYSICAL THERAPY
• Eric S Weiner DDS PC
• Jessica Elizabeth Escobar
• Estanie Esteve, LPN
• Anne K Esthappan
• Claude Estinville, LPN

• Endocrinology, Diabetes & Metabolism Physician in Elmont, NY
• Providers in Elmont, NY by specialty
• Endocrinology, Diabetes & Metabolism Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.