Ny Family Physician PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NY FAMILY PHYSICIAN PC

Practice address

2020 Cortelyou Rd
Brooklyn, NY 11226-5904

Phone

(718) 689-7353

Fax

(718) 475-2079

NPI assigned

Jul 2, 2021

Last updated

Jan 21, 2026By 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. Nasimullah Khan, MDNPI 1477947711

Title

Owner

Phone

(718) 689-7353

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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.

• Nasimullah Khan, MD

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1477947711
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1538730338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 CORTELYOU RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112265904",
            "telephone_number": "718-689-7353",
            "fax_number": "718-475-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 CORTELYOU RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112265904",
            "telephone_number": "718-689-7353",
            "fax_number": "718-475-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY FAMILY PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-02",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "NASIMULLAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-689-7353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.