Organization Active NPI

Muhammad J.S.Khan MD,PC

  • Pediatrics Physician
  • Elmhurst, NY
National Provider Identifier
1538203690
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MUHAMMAD J.S.KHAN MD,PC
Practice address
4018Case Street,
Main Floor
Elmhurst, NY 11373
Phone
(718) 205-7400
NPI assigned
Feb 20, 2007
Last updated
Oct 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Authorized official

Name
Dr. Muhammad J.S Khan, MDNPI 1194832808
Title
Owner
Phone
(718) 205-7400

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
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

4018Case Street,
Main Floor
Elmhurst, NY 11373

Mailing address

15 Highview Rd
Jersey City, NJ 07305-2105
Phone (718) 205-7400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120501000328 NY Part B Supplier - Clinic/Group Practice 8921260399 Receives reassigned benefits from 2 practitioners
Practice locations: Elmhurst, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1538203690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HIGHVIEW RD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052105",
            "telephone_number": "718-205-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4018CASE STREET,",
            "address_2": "MAIN FLOOR",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "11373",
            "telephone_number": "718-205-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUHAMMAD J.S.KHAN MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "J.S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-205-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.