Fereydoun Khalili I, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046106 Issued in NY

Practice address

103-43 Lefferts Blvd.
2ND FL.
South Richmond Hill, NY 11419

Phone

(718) 843-5500

Fax

(718) 841-7600

NPI assigned

Apr 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Lefferts 26 Dentistry PLLC

  • General Practice Dentistry
  • South Richmond Hill, NY
  • NPI 1801126339
  NPD (past) Authorized official

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336953600000",
    "number": "1336368141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103-43 LEFFERTS BLVD.",
            "address_2": "2ND FL.",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "11419",
            "telephone_number": "718-843-5500",
            "fax_number": "718-841-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103-43 LEFFERTS BLVD.",
            "address_2": "2ND FL.",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "11419",
            "telephone_number": "718-843-5500",
            "fax_number": "718-841-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALILI",
        "first_name": "FEREYDOUN",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2012-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01644504",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manpreet Kaur, PA-C
• Rajbir Kaur
• Ramanjot Kaur, PA-C
• Ramanpreet Kaur, MD
• Raymond Riad Kayume, DC
• Ashley Khan, LMSW
• Kevin Matthew Khan, RPA-C
• Shara Khan
• Anna Khesin, OD
• Aisha Khizar

• General Practice Dentistry in South Richmond Hill, NY
• Providers in South Richmond Hill, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.