Active NPI
Queens Atlantic Medical, PLLC
- Anatomic Pathology Physician
- Forest Hills, NY
National Provider Identifier
1205789393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- Legal business name
- QUEENS ATLANTIC MEDICAL, PLLC
- Practice address
- 10919 72ND Rd
Forest Hills, NY 11375-7826 - Phone
- (718) 268-0418
- NPI assigned
- Feb 18, 2026
- Last updated
- Feb 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Azeem Khan, MD
- Title
- Owner
- Phone
- (718) 268-0418
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | |||
| Gastroenterology Physician | 207RG0100X | |||
| Dermatopathology (Pathology) Physician | 207ZD0900X | |||
| Anatomic Pathology Physician | 207ZP0101X | Primary |
Addresses
Primary practice location
10919 72ND Rd
Forest Hills, NY 11375-7826
Mailing address
10919 72ND Rd
Forest Hills, NY 11375-7826
Phone (718) 268-0418
Other practice location 1
19812 Hillside Ave
Hollis, NY 11423-2161
Phone (718) 268-0418
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Forest Hills, NY
- NPI 1538183678
-
- Dermatology Physician
- Forest Hills, NY
- NPI 1134143282
-
- Anatomic Pathology & Clinical Pathology Physician
- Bronx, NY
- NPI 1598827107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771804800000",
"number": "1205789393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10919 72ND RD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113757826",
"telephone_number": "718-268-0418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10919 72ND RD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113757826",
"telephone_number": "718-268-0418"
}
],
"practiceLocations": [
{
"address_1": "19812 Hillside Ave",
"address_purpose": "LOCATION",
"city": "Hollis",
"state": "NY",
"postal_code": "114232161",
"country_code": "US",
"telephone_number": "718-268-0418",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "QUEENS ATLANTIC MEDICAL, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-18",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "AZEEM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-268-0418",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
- Quality Orthopedics and Complete Joint Care, P.C
- Kristina Quan Soon, MD
- Arthur J. Quatrano, PH.D.
- Queens Allergy & Asthma Care PLLC
- Queens Anesthesia Services PLLC
- Queens Central Pharmacy Inc
- Queens Community House, Inc.
- Queens Family Medical Health and Wellness, PC
- Queens Hematology Oncology PC
- Queens Medical Imaging, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.