Individual provider Active NPI

Fauzia F Syed-Khan, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Astoria, NY
National Provider Identifier
1043256928
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
228656 Issued in NY
Practice address
3435 29TH St
Astoria, NY 11106-3503
Phone
(718) 274-0105
Fax
(718) 274-2671
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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 228656 NY
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 228656 NY Primary

Addresses

Primary practice location

3435 29TH St
Astoria, NY 11106-3503

Mailing address

3435 29TH St
Astoria, NY 11106-3503
Phone (718) 274-0105

Other identifiers 1

IdentifierTypeStateIssuer
02548483MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040330001702 NY Practitioner - Internal MedicinePractitioner - Endocrinology 9436141694 Reassigns benefits to 1 organization
Practice locations: Astoria, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Other, 1990
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3601 31St Ave
Suite 1a
Astoria, NY 11106-1051
Phone (718) 274-0105

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endocrinology Professional of Ny, PC Endocrinology, Diabetes & Metabolism CurrentSince Apr 14, 2015 Accepting new patients
Claude Errington Williams, DPM, P.C. Past Accepting new patients
Broadway Cardiopulmonary, P.C. Internal Medicine Past Accepting new patients
Dynamic Physical Therapy Services PC Past Accepting new patients

Locations

3601 31st Ave
Ste 1A
Astoria, NY 11106
Phone (718) 274-0105

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: fskhan@1543.mdlanddirect.com

Organizations & group practices 4

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1043256928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 29TH ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111063503",
            "telephone_number": "718-274-0105",
            "fax_number": "718-274-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 29TH ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111063503",
            "telephone_number": "718-274-0105",
            "fax_number": "718-274-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYED-KHAN",
        "first_name": "FAUZIA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "228656",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "228656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02548483",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.