Individual provider Active NPI

Alghanam Kharal, PA-C

  • Medical Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1245742014
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
021565-1 Issued in NY
Practice address
466 Bay Ridge Ave
Brooklyn, NY 11220-5906
Phone
(347) 836-6923
NPI assigned
Nov 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 021565-1 NY Primary

Addresses

Primary practice location

466 Bay Ridge Ave
Brooklyn, NY 11220-5906

Mailing address

1488 E 45TH St
Brooklyn, NY 11234-3004
Phone (347) 227-5489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171207003012 NY Practitioner - Physician Assistant 6709143233 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
State University of New York Downstate Medical Center, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Lij Urgent Care PCGroup PAC ID 6002131778, 389 clinicians
RJ Medical and Urgent Care PLLCGroup PAC ID 0547567828, 5 clinicians

Practice addresses (Care Compare)

1033 Northern Blvd
Roslyn, NY 11576-1502
Phone (516) 537-9063

125 Greaves LN
Staten Island, NY 10308-2175
Phone (718) 502-8763

1332 Peninsula Blvd
Hewlett, NY 11557-1226
Phone (516) 531-6130

13434 Springfield Blvd
Springfield Gardens, NY 11413-1459
Phone (516) 537-9063

1445 Richmond Ave
Staten Island, NY 10314-1563
Phone (929) 219-0622

1700 Hylan Blvd
Staten Island, NY 10305-1930
Phone (516) 537-9062

243 Merrick Rd
Rockville Centre, NY 11570-5211
Phone (516) 537-9063

377 S Oyster Bay Rd
Plainview, NY 11803-3323
Phone (516) 537-9061

4119 Bell Blvd
Bayside, NY 11361-2858
Phone (929) 373-4480

4316 Amboy Rd
Staten Island, NY 10312-3820
Phone (929) 282-4146

464 Bay Ridge Ave
Suite a
Brooklyn, NY 11220-5906
Phone (718) 680-6006

50 E Jericho Tpke
Mineola, NY 11501-3141
Phone (516) 399-3068

5505 Myrtle Ave
Ridgewood, NY 11385-3550
Phone (718) 502-9063

5828 99TH St
Corona, NY 11368-4306
Phone (718) 502-9867

5828 99TH St Corona
Corona, NY 11368-4306
Phone (718) 502-9867

595 Hempstead Tpke
Suite a
West Hempstead, NY 11552-1030
Phone (347) 493-2952

683 Sunrise Hwy
Lynbrook, NY 11563-3246
Phone (516) 441-2155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
021565NYMDSpeech-Language Pathologist
021565-1NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pharma Holding Inc PastSince Jul 23, 2023 Accepting new patients
Rockland Medical Group, PLLC PastSince Apr 15, 2017 Accepting new patients
464 Bay Ridge Medical PLLC Past Accepting new patients

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: alghanam.kharal@ghuc.eclinicaldirectplus.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509494400000",
    "number": "1245742014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1488 E 45TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343004",
            "telephone_number": "347-227-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 BAY RIDGE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205906",
            "telephone_number": "347-836-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHARAL",
        "first_name": "ALGHANAM",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-01",
        "last_updated": "2017-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "021565-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.