Organization Active NPI

Geriatric Associate P.C

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1558545673
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GERIATRIC ASSOCIATE P.C
Practice address
1923 Homecrest Ave
Brooklyn, NY 11229-2709
Phone
(718) 645-8303
Fax
(718) 645-8507
NPI assigned
Dec 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

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

Authorized official

Name
Dr. Albert Khaski, M.D
Title
Owner
Phone
(718) 645-8303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1923 Homecrest Ave
Brooklyn, NY 11229-2709

Mailing address

1923 Homecrest Ave
Brooklyn, NY 11229-2709
Phone (718) 645-8303

Other identifiers 1

IdentifierTypeStateIssuer
01662326MedicaidNY

National Provider Directory

National Provider Directory

Locations

133 Mulberry St
New York, NY 10013

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1558545673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 HOMECREST AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292709",
            "telephone_number": "718-645-8303",
            "fax_number": "718-645-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 HOMECREST AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292709",
            "telephone_number": "718-645-8303",
            "fax_number": "718-645-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC ASSOCIATE P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "KHASKI",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-645-8303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01662326",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.