Individual provider Active NPI

Tenzin Khandoe, FNP-C

  • Family Nurse Practitioner
  • Jackson Heights, NY
National Provider Identifier
1194336016
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
344958 Issued in NY
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

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.