Active NPI
Alexander Khavash, DC
- Chiropractor
- Brooklyn, NY
National Provider Identifier
1275534935
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Feb 20, 2024.
- Section 1128b(7) exclusion effective Dec 16, 2016.
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 010592
- Practice address
- 438 9TH St
Brooklyn, NY 11215-4177 - Phone
- (718) 788-7007
- Fax
- (718) 788-7707
- NPI assigned
- Aug 3, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 010592 | NY | Primary |
Addresses
Primary practice location
438 9TH St
Brooklyn, NY 11215-4177
Mailing address
223 Piccadilly DWNS
Lynbrook, NY 11563-3145
Phone (718) 373-6656
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P3304901 | Other | NY | OXFORD |
| 3422298 | Other | NY | AETNA |
| 010592-NY | Other | NY | 1199 |
| 1049460 | Other | NY | ASHN |
| 02463376 | Medicaid | NY | |
| 5808094 | Other | NY | GHI |
| 660778 | Other | NY | ACN |
| X8U332 | Other | NY | EMPIRE BCBS |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010592 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermed Care PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Legal Medicine
- Brooklyn, NY
- NPI 1144235516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200960000000",
"number": "1275534935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 PICCADILLY DWNS",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115633145",
"telephone_number": "718-373-6656",
"fax_number": "718-373-6656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "438 9TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112154177",
"telephone_number": "718-788-7007",
"fax_number": "718-788-7707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAVASH",
"first_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2008-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "010592",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3304901",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3422298",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1199",
"identifier": "010592-NY",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHN",
"identifier": "1049460",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02463376",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "5808094",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "660778",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "X8U332",
"state": "NY"
}
],
"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 Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.