Active NPI
Zenab Khan
- Dentist
- Brooklyn, NY
National Provider Identifier
1083109375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11611
- Practice address
- 262 56TH St Unit 3
Brooklyn, NY 11220-2615 - Phone
- (973) 476-2965
- NPI assigned
- Jun 28, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11611 | NC | Primary |
Addresses
Primary practice location
262 56TH St Unit 3
Brooklyn, NY 11220-2615
Mailing address
535 Carlton Ave # Apr613
Brooklyn, NY 11238-4459
Phone (973) 476-2965
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11611 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1083109375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 CARLTON AVE # APR613",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112384459",
"telephone_number": "973-476-2965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "262 56TH ST UNIT 3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112202615",
"telephone_number": "973-476-2965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "ZENAB",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-28",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "11611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.