Active NPI
Tenzin Khandoe, FNP-C
- Family Nurse Practitioner
- Jackson Heights, NY
National Provider Identifier
1194336016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 344958
- Practice address
- 7209 Northern Blvd
Jackson Heights, NY 11372-1048 - Phone
- (718) 533-8434
- NPI assigned
- Aug 13, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 344958 | NY | Primary |
Addresses
Primary practice location
7209 Northern Blvd
Jackson Heights, NY 11372-1048
Mailing address
7209 Northern Blvd
Jackson Heights, NY 11372-1048
Phone (718) 533-8434
Other practice location 1
2925 Kings Hwy
Brooklyn, NY 11229-1805
Phone (718) 677-3871
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627257600000",
"number": "1194336016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7209 NORTHERN BLVD",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113721048",
"telephone_number": "718-533-8434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7209 NORTHERN BLVD",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113721048",
"telephone_number": "718-533-8434"
}
],
"practiceLocations": [
{
"address_1": "2925 Kings Hwy",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112291805",
"country_code": "US",
"telephone_number": "718-677-3871",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHANDOE",
"first_name": "TENZIN",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-13",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "344958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.