Yonkers Family Practice, PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

204019 Issued in NY

Legal business name

YONKERS FAMILY PRACTICE, PC

Practice address

45 Ludlow St
Suite 700
Yonkers, NY 10705-1947

Phone

(914) 375-2700

Fax

(914) 375-0404

NPI assigned

Oct 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Khalil Ibrahim Innabi, M.D.NPI 1336184290

Title

M.D.

Phone

(914) 375-2700

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khalil Innabi, M.D.

  • Family Medicine Physician
  • Yonkers, NY
  • NPI 1336184290
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1497944284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 LUDLOW ST",
            "address_2": "SUITE 700",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107051947",
            "telephone_number": "914-375-2700",
            "fax_number": "914-375-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 LUDLOW ST",
            "address_2": "SUITE 700",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107051947",
            "telephone_number": "914-375-2700",
            "fax_number": "914-375-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YONKERS FAMILY PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "INNABI",
        "authorized_official_first_name": "KHALIL",
        "authorized_official_middle_name": "IBRAHIM",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "914-375-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "204019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02041087",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yonkers Dental Associates, P.C.
• Yonkers Dental Surgery P.C.
• Yonkers Dental,PC
• Yonkers Express Pharmacy Inc
• Yonkers Eyewear Optical Inc.
• Yonkers Gardens, LLC
• Yonkers Gardens, LLC
• Yonkers General Medical Practice,PC
• Yonkers Imaging PC
• Yonkers Medical Diagnostic,PC

• Primary Care Clinic/Center in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.