Central Queens Ipa,D/B/a South Asian Ipa

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

225253 Issued in NY

Legal business name

CENTRAL QUEENS IPA,D/B/A SOUTH ASIAN IPA

Practice address

7017 37TH Ave
Jackson Heights, NY 11372-3922

Phone

(718) 683-5467

Fax

(718) 565-5686

NPI assigned

Nov 8, 2016

Organization subpart

Yes

Parent organization

SOUTH ASIAN IPAAs reported in NPPES

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

Authorized official

Name

Dr. Ferdous Khandker, MD

Title

MD

Phone

(718) 683-5467

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• South Asian IPA Doing business as

Part of

Central Queens Ipadba South Asian Ipa

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• South Asian Ipa, LLC

  • Primary Care Clinic/Center
  • Brooklyn, NY
  • NPI 1164957783
  NPPES parent name

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1043752041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7017 37TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113723922",
            "telephone_number": "718-683-5467",
            "fax_number": "718-565-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7017 37TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113723922",
            "telephone_number": "718-683-5467",
            "fax_number": "718-565-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL QUEENS IPA,D/B/A SOUTH ASIAN IPA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH ASIAN IPA",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "KHANDKER",
        "authorized_official_first_name": "FERDOUS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-683-5467",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "225253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02300407",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Asian IPA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Castro, LMSW
• Catholic Charities
• Catholic Charities Brooklyn and Queens
• Catholic Charities of Brooklyn and Queens
• Michelle Ceniza, PT
• Centro Dental Familiar PC.
• Susana K Chan, PA
• Y T Grace Chan
• Charlene Lau DDS PLLC
• Jocelyn Charlon, NP

• Internal Medicine Physician in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.