Frozahn Khwaja, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

062522 Issued in NY

Practice address

17 Conklin St Ste 2
Farmingdale, NY 11735-2557

Phone

(516) 962-2785

NPI assigned

Mar 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Frozahn Khwaja DDS PLLC

  • Dental Clinic/Center
  • Farmingdale, NY
  • NPI 1053132936
  NPD Authorized official

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

{
    "created_epoch": "1615680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1366027047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 HONEYSUCKLE LN",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117357004",
            "telephone_number": "516-962-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CONKLIN ST STE 2",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352557",
            "telephone_number": "516-962-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHWAJA",
        "first_name": "FROZAHN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-14",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "062522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samara Leigh Kelhoffer
• Hallie Kessler, MS
• Nahid Khan
• Heskell Khozouri Zadeh
• Prateek Khurana, DO
• Julie-Kristine Killian, MA
• Christine Kim, LAC
• Daemee Kim, LMHC
• Isaac Kim, PHARMD
• Samuel Kim, DC

• General Practice Dentistry in Farmingdale, NY
• Providers in Farmingdale, 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 Nov 6, 2024; 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.