The Progressive Neurology, PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

THE PROGRESSIVE NEUROLOGY, PC

Practice address

2531 30TH Rd
Suite 1F
Astoria, NY 11102-2647

Phone

(718) 267-8510

Fax

(718) 267-8511

NPI assigned

Dec 12, 2006

Last updated

Nov 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Intazam Uddin Khan, MDNPI 1548352594

Title

MD

Phone

(718) 267-8510

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Intazam Uddin Khan, MD

  • Neurology Physician
  • Astoria, NY
  • NPI 1548352594
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1447310057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CAPRI DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763205",
            "telephone_number": "718-267-8510",
            "fax_number": "718-267-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 30TH RD",
            "address_2": "SUITE 1F",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022647",
            "telephone_number": "718-267-8510",
            "fax_number": "718-267-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PROGRESSIVE NEUROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "INTAZAM",
        "authorized_official_middle_name": "UDDIN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-267-8510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Astoria, NY
• Providers in Astoria, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.