Active NPI
Khalid Abdullah Alzoman, MD
- Surgery Physician
- New York, NY
National Provider Identifier
1578831491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- P82649
- Practice address
- 435 E 70TH St
Apt 10K
New York, NY 10021-5342 - Phone
- (201) 873-5617
- NPI assigned
- Dec 6, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | P82649 | NY | Primary |
Addresses
Primary practice location
435 E 70TH St
Apt 10K
New York, NY 10021-5342
Mailing address
435 E 70TH St
Apt 10K
New York, NY 10021-5342
Phone (201) 873-5617
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P82649 | NY | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323129600000",
"number": "1578831491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 E 70TH ST",
"address_2": "APT 10K",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215342",
"telephone_number": "201-873-5617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 E 70TH ST",
"address_2": "APT 10K",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215342",
"telephone_number": "201-873-5617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALZOMAN",
"first_name": "KHALID",
"middle_name": "ABDULLAH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-06",
"last_updated": "2011-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "P82649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.