Active NPI
Stephanie Khan NP in Family Health PLLC
- Primary Care Nurse Practitioner
- Forest Hills, NY
National Provider Identifier
1548909435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- STEPHANIE KHAN NP IN FAMILY HEALTH PLLC
- Practice address
- 11078 Queens Blvd
Forest Hills, NY 11375-6345 - Phone
- (718) 309-2827
- Fax
- (929) 306-6699
- NPI assigned
- May 31, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Khan
- Title
- Owner
- Phone
- (718) 309-2827
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
11078 Queens Blvd
Forest Hills, NY 11375-6345
Mailing address
9532 75TH St
Ozone Park, NY 11416-1006
Phone (917) 682-1986
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.tebra.com/care/provider/stephanie-khan-1366961526 |
National Provider Directory
National Provider DirectoryLocations
11078 Queens Blvd
Forest Hills, NY 11375
Phone (718) 309-2827
11050 Queens Blvd
Forest Hills, NY 11375
Phone (347) 336-5972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737676800000",
"number": "1548909435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9532 75TH ST",
"city": "OZONE PARK",
"state": "NY",
"postal_code": "114161006",
"telephone_number": "917-682-1986",
"fax_number": "929-306-6699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11078 QUEENS BLVD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113756345",
"telephone_number": "718-309-2827",
"fax_number": "929-306-6699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHANIE KHAN NP IN FAMILY HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-31",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-309-2827"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.tebra.com/care/provider/stephanie-khan-1366961526",
"affiliation": "N",
"address_1": "11078 Queens Blvd",
"city": "Forest Hills",
"state": "NY",
"country_code": "US",
"postal_code": "113756345",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.