Organization Active NPI

Ishrat S. Khan, M.D.,P.C.

  • Physical Medicine & Rehabilitation Physician
  • Flushing, NY
National Provider Identifier
1265672489
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
147087 Issued in NY
Legal business name
ISHRAT S. KHAN, M.D.,P.C.
Practice address
142-18 38TH Ave Ste CFD
Flushing, NY 11354-5554
Phone
(718) 886-2288
Fax
(718) 886-1179
NPI assigned
Feb 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2009

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

Authorized official

Name
Ishrat S Khan, M.D.NPI 1871694364
Title
President
Phone
(516) 794-9198

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 147087 NY Primary

Addresses

Primary practice location

142-18 38TH Ave Ste CFD
Flushing, NY 11354-5554

Mailing address

572 Waverly PL
East Meadow, NY 11554-4009
Phone (516) 794-9198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090505000512 NY Part B Supplier - Clinic/Group Practice 2264580067 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1265672489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 WAVERLY PL",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115544009",
            "telephone_number": "516-794-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142-18 38TH AVE STE CFD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545554",
            "telephone_number": "718-886-2288",
            "fax_number": "718-886-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISHRAT S. KHAN, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-27",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ISHRAT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-794-9198",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "147087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.