Organization Active NPI

Stephanie Khan NP in Family Health PLLC

  • Primary Care Nurse Practitioner
  • Forest Hills, NY
National Provider Identifier
1548909435
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
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

Updated by the provider on Jan 24, 2025

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)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
CONNECT URL https://www.tebra.com/care/provider/stephanie-khan-1366961526

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.