Individual provider Active NPI

Afshan Khwaja, MLSW

  • Social Worker
  • Manhasset Hills, NY
National Provider Identifier
1376785527
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
062700 Issued in NY
Practice address
105 Larch Dr
Manhasset Hills, NY 11040-2329
Phone
(516) 610-8676
NPI assigned
Apr 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 062700 NY Primary

Addresses

Primary practice location

105 Larch Dr
Manhasset Hills, NY 11040-2329

Mailing address

105 Larch Dr
Manhasset Hills, NY 11040-2329
Phone (516) 610-8676

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
062700NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1376785527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 LARCH DR",
            "city": "MANHASSET HILLS",
            "state": "NY",
            "postal_code": "110402329",
            "telephone_number": "516-610-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 LARCH DR",
            "city": "MANHASSET HILLS",
            "state": "NY",
            "postal_code": "110402329",
            "telephone_number": "516-610-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHWAJA",
        "first_name": "AFSHAN",
        "credential": "MLSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-02",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "062700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.