Phoenix Physicians LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA08804200 Issued in NJ

Legal business name

PHOENIX PHYSICIANS LLC

Practice address

705 Broadway
Paterson, NJ 07514-1425

Phone

(814) 659-3133

NPI assigned

Oct 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ahmad H Khan, MD

Title

President

Phone

(814) 659-3133

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1154631182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 438",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "076420438",
            "telephone_number": "814-659-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141425",
            "telephone_number": "814-659-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-659-3133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08804200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pharmacy Express Inc
• Pharmacy on Main Inc (Main St Pharmacy)
• Pharmacy on Main Inc
• Simi Ann Philip
• Philips Academy Charter School of Paterson
• Phylco, LTD (White Birch Nursing Home)
• Physical Medicine of New Jersey
• Physical Medicine of New Jersey LLC
• Physical Therapy Home Services LLC
• Physical Therapy Institute of Paterson

• Internal Medicine Physician in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.