Active NPI
Khan Medical Care PLLC
- Family Medicine Physician
- Manhasset, NY
National Provider Identifier
1366199986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- KHAN MEDICAL CARE PLLC
- Practice address
- 300 Community Dr
Manhasset, NY 11030-3816 - Phone
- (917) 579-9019
- NPI assigned
- Mar 3, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mehtab Abbasi
- Title
- Credentialing Executive
- Phone
- (917) 336-8422
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
300 Community Dr
Manhasset, NY 11030-3816
Mailing address
103 Hillwood LN
Plainview, NY 11803-3119
Phone (917) 579-9019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Manhasset, NY
- NPI 1578959300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646265600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776729600000",
"number": "1366199986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 HILLWOOD LN",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118033119",
"telephone_number": "917-579-9019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 COMMUNITY DR",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303816",
"telephone_number": "917-579-9019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KHAN MEDICAL CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-03",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A",
"authorized_official_last_name": "ABBASI",
"authorized_official_first_name": "MEHTAB",
"authorized_official_title_or_position": "CREDENTIALING EXECUTIVE",
"authorized_official_telephone_number": "917-336-8422"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manhasset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.