Individual provider Active NPI

Isa Junior Khalid

  • Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1194644401
Registry record updated Jul 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
823257 Issued in NY
Practice address
525 Rockaway Pkwy Apt A33
Brooklyn, NY 11212-3117
Phone
(347) 777-4350
Fax
(347) 777-4350
NPI assigned
Jul 11, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 823257 NY Primary

Addresses

Primary practice location

525 Rockaway Pkwy Apt A33
Brooklyn, NY 11212-3117

Mailing address

525 Rockaway Pkwy Apt A33
Brooklyn, NY 11212-3117
Phone (347) 777-4350

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

NPI Registry JSON

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

{
    "created_epoch": "1783728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783728000000",
    "number": "1194644401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 ROCKAWAY PKWY APT A33",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123117",
            "telephone_number": "347-777-4350",
            "fax_number": "347-777-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ROCKAWAY PKWY APT A33",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123117",
            "telephone_number": "347-777-4350",
            "fax_number": "347-777-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALID",
        "first_name": "ISA JUNIOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-11",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "823257",
            "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 Jul 11, 2026; 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.