Rita Khanijou, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

162506 Issued in NY

Practice address

120 Grant Ave
Brooklyn, NY 11208-1804

Phone

(718) 827-6565

Fax

(718) 964-1502

NPI assigned

Dec 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: ritakhanijou@whmc.allscriptsdirect.net
• FHIR API: https://fhir4.healow.com/fhir/r4/JDDDBA/Endpoint/JDDDBA

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.

• Pradeep Khanijou Dental PC

  • Dental Clinic/Center
  • Floral Park, NY
  • NPI 1053156489
  NPD
• Wyckoff Heights Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1700886322
  NPD

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1063580744",
    "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": "718-827-6565",
            "fax_number": "718-964-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 GRANT AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112081804",
            "telephone_number": "718-827-6565",
            "fax_number": "718-964-1502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24740 Jericho Tpke",
            "address_purpose": "LOCATION",
            "city": "Floral Park",
            "state": "NY",
            "postal_code": "110014001",
            "country_code": "US",
            "telephone_number": "516-233-1616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHANIJOU",
        "first_name": "RITA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "162506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00896997",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sofia Khani
• William Khani, D.M.D.
• Carolyn Rebecca Khanian, PHD
• Dilyara Khanieva
• Pradeep K Khanijou, DDS
• Emmanuel Khanimov
• Izick Khanimov, OPTICIAN
• Vlada Khanimov
• Yuriy Khanimov
• Aleksandr Khanin, DPT

• Pediatrics Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.