Active NPI
Adam Zafar Khan, PA
- Medical Physician Assistant
- Richmond Hill, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 017320
- Practice address
- 8541 105TH St
Richmond Hill, NY 11418-1128 - Phone
- (718) 805-2643
- NPI assigned
- Oct 26, 2014
- Last updated
- Oct 26, 2014
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 017320 | NY | Primary |
Addresses
Primary practice location
8541 105TH St
Richmond Hill, NY 11418-1128
Mailing address
8541 105TH St
Richmond Hill, NY 11418-1128
Phone (718) 805-2643
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017320 | Other | NY | NEW YORK STATE EDUCATION DEPARTMENT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
122 Maple Ave
White Plains, NY 10601-4706
Phone (914) 285-9808
185 Kisco Ave
Suite 300
Mount Kisco, NY 10549-1409
Phone (914) 242-2020
41 E Post Rd
White Plains, NY 10601-4607
Phone (914) 681-0600
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.52 of 100
- Promoting interoperability
- 94
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Plains Physician Services PC | Current | Accepting new patients | |
| New York Pain Consultants LLC | Current | Accepting new patients |
Locations
11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071
100 W Main St
Ste C
Babylon, NY 11702
Phone (631) 206-1034
500 W Main St
Ste 116
Babylon, NY 11702
8 Saxon Ave
Ste E
Bay Shore, NY 11706
Phone (631) 206-1034
550 Mamaroneck Ave
Ste 503
Harrison, NY 10528
Phone (914) 346-5200
550 Mamaroneck Ave
Ste 550
Harrison, NY 10528
185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1124502687
-
- Interventional Pain Medicine Physician
- Babylon, NY
- NPI 1639190630
-
dba Metro Pain Centers
- Interventional Pain Medicine Physician
- Clifton, NJ
- NPI 1881053676
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba White Plains Hospital Center
- General Acute Care Hospital
- White Plains, NY
- NPI 1447255153
-
- Rehabilitation Hospital
- White Plains, NY
- NPI 1841295219
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414281600000",
"number": "1407251093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8541 105TH ST",
"city": "RICHMOND HILL",
"state": "NY",
"postal_code": "114181128",
"telephone_number": "718-805-2643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8541 105TH ST",
"city": "RICHMOND HILL",
"state": "NY",
"postal_code": "114181128",
"telephone_number": "718-805-2643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "ADAM",
"middle_name": "ZAFAR",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-26",
"last_updated": "2014-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "017320",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE EDUCATION DEPARTMENT",
"identifier": "017320",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond Hill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.