Active NPI
Fauzia Syed-Khan
- Specialist
- Flushing, NY
National Provider Identifier
1447289020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 228656
- Legal business name
- FAUZIA SYED-KHAN
- Practice address
- 147-09 Elm Ave
Suite B1
Flushing, NY 11355 - Phone
- (718) 888-9272
- NPI assigned
- Jul 3, 2006
- 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
- Fauzia Syed-Khan
- Title
- Sole Proprieter
- Phone
- (718) 888-9272
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 228656 | NY | Primary |
Addresses
Primary practice location
147-09 Elm Ave
Suite B1
Flushing, NY 11355
Mailing address
14944 Hollywood Ave
Flushing, NY 11355-1720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02548483 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1447289020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14944 HOLLYWOOD AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113551720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147-09 ELM AVE",
"address_2": "SUITE B1",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11355",
"telephone_number": "718-888-9272"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAUZIA SYED-KHAN",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SYED-KHAN",
"authorized_official_first_name": "FAUZIA",
"authorized_official_title_or_position": "SOLE PROPRIETER",
"authorized_official_telephone_number": "718-888-9272"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "228656",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02548483",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.