Active NPI
Abdullah Khan Zada, M.D
- Student in an Organized Health Care Education/Training Program
- Stony Brook, NY
National Provider Identifier
1366291270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 101 Nicolls Rd
Stony Brook University Hospital
Stony Brook, NY 11794 - Phone
- (934) 213-6877
- NPI assigned
- May 14, 2024
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
101 Nicolls Rd
Stony Brook University Hospital
Stony Brook, NY 11794
Mailing address
101 Nicolls Rd
Stony Brook University Hospital
Stony Brook, NY 11794
Phone (934) 213-6877
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1366291270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 NICOLLS RD",
"address_2": "STONY BROOK UNIVERSITY HOSPITAL",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "11794",
"telephone_number": "934-213-6877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 NICOLLS RD",
"address_2": "STONY BROOK UNIVERSITY HOSPITAL",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "11794",
"telephone_number": "934-213-6877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZADA",
"first_name": "ABDULLAH",
"middle_name": "KHAN",
"name_prefix": "Mr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-14",
"last_updated": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.