Pradeep Khanijou Dental PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PRADEEP KHANIJOU DENTAL PC

Practice address

24740 Jericho Tpke
Floral Park, NY 11001-4001

Phone

(516) 233-1616

Fax

(516) 233-1024

NPI assigned

Jun 27, 2024

Organization subpart

No

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

Authorized official

Name

Pradeep K Khanijou, DDSNPI 1841250586

Title

President

Phone

(516) 717-9969

Specialties & licenses 1

Addresses

Other names 1

• pradeep khanijou dental pc Doing business as

Locations

Practitioners 3

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

• Pradeep K Khanijou, DDS

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1841250586
  NPD Authorized official
• Rita Khanijou, MD

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1063580744
  NPD
• Ajay Verma, MD

  • Nephrology Physician
  • New Rochelle, NY
  • NPI 1578658886
  NPD (past)

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1053156489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31A VALLEY VIEW RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213917",
            "telephone_number": "516-717-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24740 JERICHO TPKE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110014001",
            "telephone_number": "516-233-1616",
            "fax_number": "516-233-1024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Grant Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112081804",
            "country_code": "US",
            "telephone_number": "718-827-6565",
            "fax_number": "718-827-5913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRADEEP KHANIJOU DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "KHANIJOU",
        "authorized_official_first_name": "PRADEEP",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-717-9969",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "pradeep khanijou dental pc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamie Pollock
• Thomas Augustine Poomkudy, DDS
• Patricia Portoghese
• Carleen O Powell, LPN
• Christine Power, OTR/L
• Norma Prashar
• Alison Pratt, PHD
• Donald Prayag, LMHC
• Preetha a Kuruvilla DDS PC
• Kaitlyn Prilucik

• Dental Clinic/Center in Floral Park, NY
• Providers in Floral Park, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.