Asif Jalil Khan

Primary specialty

DriverTaxonomy code 172A00000X

Practice address

110 W Bridge St
Saugerties, NY 12477-1418

Phone

(845) 532-2381

Fax

(845) 338-2100

NPI assigned

Aug 16, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1144876913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W BRIDGE ST",
            "city": "SAUGERTIES",
            "state": "NY",
            "postal_code": "124771418",
            "telephone_number": "845-532-2381",
            "fax_number": "845-338-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W BRIDGE ST",
            "city": "SAUGERTIES",
            "state": "NY",
            "postal_code": "124771418",
            "telephone_number": "845-532-2381",
            "fax_number": "845-338-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ASIF",
        "middle_name": "JALIL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Kamen
• Richard Walter Kappler, D.C.
• Michael Francis Keane, P.T
• Carrie E Kennett, PHARM.D.
• Jamie Kesick, LMSW
• Gina Marie Kiniry, MSW
• Debra Ann Koehn, DMD
• Natalie Kwait
• Soe P. Kyaw, MD
• Stephen Larson, PSY D

• Driver in Saugerties, NY
• Providers in Saugerties, NY by specialty
• Driver in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.

Verify at the official NPI Registry.