Organization Active NPI

Dr. Maria Khurshid MD PC

  • Internal Medicine Physician
  • Brentwood, NY
National Provider Identifier
1477430817
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DR. MARIA KHURSHID MD PC
Practice address
820 Suffolk Ave Ste 103
Brentwood, NY 11717-4498
Phone
(631) 201-0006
NPI assigned
Aug 18, 2025
Last updated
Aug 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Authorized official

Name
Dr. Maria Khurshid, MDNPI 1285212464
Title
Owner
Phone
(631) 201-0006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

820 Suffolk Ave Ste 103
Brentwood, NY 11717-4498

Mailing address

820 Suffolk Ave Ste 103
Brentwood, NY 11717-4498
Phone (631) 201-0006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250912000773 NY Part B Supplier - Clinic/Group Practice 7517460843 Receives reassigned benefits from 1 practitioner
Practice locations: Brentwood, NY; Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

820 Suffolk Ave
Ste 103
Brentwood, NY 11717
Phone (212) 257-2777

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1477430817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 SUFFOLK AVE STE 103",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174498",
            "telephone_number": "631-201-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 SUFFOLK AVE STE 103",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174498",
            "telephone_number": "631-201-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARIA KHURSHID MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "KHURSHID",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-201-0006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.