Individual provider Active NPI

Kanwal Khan

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1508662008
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
312067 Issued in NY
Practice address
326 7TH St
Brooklyn, NY 11215-3311
Phone
(718) 965-1234
Fax
(608) 888-1790
NPI assigned
Feb 24, 2025
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 312067 NY Primary

Addresses

Primary practice location

326 7TH St
Brooklyn, NY 11215-3311

Mailing address

326 7TH St
Brooklyn, NY 11215-3311
Phone (718) 965-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250401001245 NY Practitioner - Nurse Practitioner 9638692577 Reassigns benefits to 5 organizations
I20260601001756 NJ Practitioner - Nurse Practitioner 9638692577 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ennoble HC NJ PCGroup PAC ID 0345638185, 129 clinicians
Housecalls Medicine Ny PCGroup PAC ID 7517358054, 31 clinicians

Practice addresses (Care Compare)

2 University PLZ
Suite 204
Hackensack, NJ 07601-6211
Phone (973) 241-1356

5 Penn PLZ
FL 23
New York, NY 10001-1810
Phone (718) 360-9370

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Housecalls Medicine Ny West PC CurrentSince Jan 12, 2026 Accepting new patients
Housecalls Medicine Ny PC CurrentSince Jan 12, 2026 Accepting new patients
Call Medicine Check Ny PC CurrentSince Apr 18, 2025 Accepting new patients
Medicine Check PC CurrentSince Jan 26, 2025 Accepting new patients
Housecalls Medicine Ny East PC CurrentSince Jan 12, 2026 Accepting new patients

Locations

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

277 Route 70
Unit 231
Toms River, NJ 08755

250 Skillman St
Ste 204
Brooklyn, NY 11205
Phone (513) 341-7173

31 Spencer St
Ste 1501
Brooklyn, NY 11205
Phone (718) 851-3700

5 Penn Plz
Fl 19
New York, NY 10001
Phone (718) 360-9370

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1508662008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 7TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153311",
            "telephone_number": "718-965-1234",
            "fax_number": "608-888-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 7TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153311",
            "telephone_number": "718-965-1234",
            "fax_number": "608-888-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "KANWAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "312067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.