Hempstead Main Medical, PC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

HEMPSTEAD MAIN MEDICAL, PC

Practice address

2 Main St
Hempstead, NY 11550-4020

Phone

(516) 489-6600

Fax

(516) 489-6640

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Faika Khan, DONPI 1508003500

Title

Owner

Phone

(877) 276-9006

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• HEMPSTEAD MAIN MEDICAL PC Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Faika Khan, D.O

  • Family Medicine Physician
  • New York, NY
  • NPI 1508003500

  NY

  Medicare reassignment Authorized official
• Jayanta Ray, MD

  • Family Medicine Physician
  • Bronx, NY
  • NPI 1033272307
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1073648705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MAIN ST",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504020",
            "telephone_number": "516-489-6600",
            "fax_number": "516-489-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MAIN ST",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504020",
            "telephone_number": "516-489-6600",
            "fax_number": "516-489-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMPSTEAD MAIN MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "FAIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-276-9006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02645169",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "263381-2",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEMPSTEAD MAIN MEDICAL PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hempstead Optical Inc.
• Hempstead Public Schools
• Hempstead Public Schools

• All providers in Hempstead, NY
• Urgent Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.