Individual provider Active NPI

Zarlasht Khan

  • Rheumatology Physician
  • Port Jefferson Station, NY
National Provider Identifier
1073939625
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
285040 Issued in NY
Practice address
1500 Route 112
Port Jefferson Station, NY 11776-8054
Phone
(631) 743-6840
NPI assigned
Mar 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 285040 NY Primary
Internal Medicine Physician 207R00000X 285040 NY

Addresses

Primary practice location

1500 Route 112
Port Jefferson Station, NY 11776-8054

Mailing address

1500 Route 112 Ste a
Port Jefferson Station, NY 11776-8055
Phone (631) 743-6840

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
I20161201001657 NY Practitioner - RheumatologyPractitioner - Internal MedicinePractitioner - Hospitalist 4486934858 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harbor View Medical Services PCGroup PAC ID 5092865873, shared by 3 NPIs, 58 clinicians

Practice addresses (Care Compare)

9 Medical Dr
Suite a
Port Jefferson Station, NY 11776-1591
Phone (631) 743-6840

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor View Medical Services PC CurrentSince May 27, 2025 Accepting new patients
Cogent Medical Care PC Internal Medicine CurrentSince Oct 8, 2016 Accepting new patients
John T. Mather Memorial Hospital CurrentSince May 27, 2025 Accepting new patients
Hospitalist Medicine Physicians of New York, PLLC CurrentSince Jan 1, 2022 Accepting new patients
Harbor View Medical Services PC Internal Medicine CurrentSince Sep 1, 2021 Accepting new patients
Harbor View Medical Services PC CurrentSince Sep 1, 2021 Accepting new patients

Locations

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

70 N Country Rd
Ste 302
Port Jefferson, NY 11777
Phone (631) 476-2767

100 Highlands Blvd
#9
Port Jefferson, NY 11777
Phone (631) 686-7809

9 Medical Dr
Ste A
Port Jefferson Station, NY 11776
Phone (631) 743-6840

1500 Route 112
Ste A
Port Jefferson Station, NY 11776
Phone (631) 331-1120

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320

75 N Country Rd
Ste 100
Prt Jefferson, NY 11777
Phone 63147313204428

75 N Country Rd
Ste 201
Prt Jefferson, NY 11777
Phone (631) 686-2575

Networks

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

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1073939625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ROUTE 112 STE A",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117768055",
            "telephone_number": "631-743-6840",
            "fax_number": "631-743-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ROUTE 112",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117768054",
            "telephone_number": "631-743-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ZARLASHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-06",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "285040",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "285040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson Station, NY

Sources for this page

Verify at the official NPI Registry.