Knickerbocker Medical Care P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

196128 Issued in NY

Legal business name

KNICKERBOCKER MEDICAL CARE P.C.

Practice address

8820 169TH St
Jamaica, NY 11432-4431

Phone

(718) 739-1199

Fax

(718) 739-1579

NPI assigned

Jul 24, 2008

Organization subpart

No

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

Authorized official

Name

Syed Shahid Hassan, M.D.NPI 1750457032

Title

M.D.

Phone

(718) 456-1900

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 4

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

• Syed S Hassan, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1750457032
  Medicare reassignment NPD Authorized official
• Sana Hassan Waqar, DO

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1457974172
  Medicare reassignment NPD
• Yahaya Nauzo, DPM

  • Primary Podiatric Medicine Podiatrist
  • Brooklyn, NY
  • NPI 1598854150
  NPD (past)
• Tarana Sultana

  • Family Nurse Practitioner
  • Rego Park, NY
  • NPI 1689423626
  NPD (past)

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1295990737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 KNICKERBOCKER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112215336",
            "telephone_number": "718-456-1900",
            "fax_number": "718-456-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 169TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324431",
            "telephone_number": "718-739-1199",
            "fax_number": "718-739-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNICKERBOCKER MEDICAL CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "SHAHID",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "718-456-1900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "196128",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "209514",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KMRC, LLC
• Stuart David Knibb, LMSW
• Knickerbocker Dialysis Inc
• Knickerbocker Dialysis Inc
• Knickerbocker Dialysis Inc
• Andrene Venice Knight
• Jordan Parish Knight, PTA
• Rosalee Lettie Knight, LPN
• Roshaun Allison Knight, SOCIAL WORK INTERN
• Miriam Kogan, LMHC

• Internal Medicine Physician in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.