NPIMap

Organization Active NPI

James J Peters VA Medical Center

  • General Acute Care Hospital
  • Bronx, NY
National Provider Identifier
1568634970
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
JAMES J PETERS VA MEDICAL CENTER
Practice address
3489 Fort Independence St Apt 5G
Bronx, NY 10463-4546
Phone
(347) 205-3517
NPI assigned
Mar 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Himad Ullah Khan Khattak, M.D.
Title
Resident
Phone
(347) 205-3517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

3489 Fort Independence St Apt 5G
Bronx, NY 10463-4546

Mailing address

3489 Fort Independence St Apt 5G
Bronx, NY 10463-4546
Phone (347) 205-3517

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1568634970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3489 FORT INDEPENDENCE ST APT 5G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634546",
            "telephone_number": "347-205-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3489 FORT INDEPENDENCE ST APT 5G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634546",
            "telephone_number": "347-205-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES J PETERS VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "KHATTAK",
        "authorized_official_first_name": "HIMAD ULLAH",
        "authorized_official_middle_name": "KHAN",
        "authorized_official_title_or_position": "RESIDENT",
        "authorized_official_telephone_number": "347-205-3517",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.