Active NPI
Afsar Ali Khan, MD
- Emergency Medicine Physician
- Utica, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 221685-1
- Practice address
- 2209 Genesee St
Utica, NY 13501-5930 - Phone
- (315) 798-8111
- Fax
- (315) 734-3158
- NPI assigned
- Jun 13, 2006
- Last updated
- Jul 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 221685-1 | NY | Primary |
Addresses
Primary practice location
2209 Genesee St
Utica, NY 13501-5930
Mailing address
307 S Evergreen Ave
Woodbury, NJ 08096-2739
Phone (856) 686-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02167884 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 221685-1 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physician Services of New York, P.C. | Emergency Medicine | Current | Accepting new patients |
| MVHS Inc | Current | Accepting new patients | |
| Emergency Care Services of New York, P.C. | Emergency Medicine | Current | Accepting new patients |
| MVHS Inc | Current | Accepting new patients |
Locations
307 S Evergreen Ave
Woodbury, NJ 08096
Phone (856) 686-4300
427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404
396 Broadway
Kingston, NY 12401
Phone (845) 331-3131
140 Burwell St
Little Falls, NY 13365
Phone (315) 823-1000
4401 Middle Settlement Rd
New Hartford, NY 13413
Phone (315) 734-3471
321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
120 Hobart St
Utica, NY 13501
Phone (315) 798-1149
1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567
2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100
Interoperability endpoints
- akhan13064@mvhealthsystem.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Syracuse, NY
- NPI 1639236656
-
- Emergency Medicine Physician
- Poughkeepsie, NY
- NPI 1093759847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1396788824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 S EVERGREEN AVE",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080962739",
"telephone_number": "856-686-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2209 GENESEE ST",
"city": "UTICA",
"state": "NY",
"postal_code": "135015930",
"telephone_number": "315-798-8111",
"fax_number": "315-734-3158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "AFSAR",
"middle_name": "ALI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "221685-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02167884",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.