SMK Medical PC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

SMK MEDICAL PC

Practice address

270 Union Ave
Holbrook, NY 11741-1823

Phone

(631) 358-1585

Fax

(631) 358-1576

NPI assigned

Jul 24, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Sayed Mustafa Khwaja, DO

Title

Physician/Owner

Phone

(631) 358-1585

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1588344626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 UNION AVE",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411823",
            "telephone_number": "631-358-1585",
            "fax_number": "631-358-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 UNION AVE",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411823",
            "telephone_number": "631-358-1585",
            "fax_number": "631-358-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMK MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "KHWAJA",
        "authorized_official_first_name": "SAYED",
        "authorized_official_middle_name": "MUSTAFA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "631-358-1585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis W Slater, LCSW
• Jami M Slater, ATR
• Christine Marie Smith
• Joanne Marie Smith, LMSW
• Nicole Susan Smith
• Steven I Snyder, DDS
• Caroline Helene Sobota
• Danielle Lauren Somma
• Patricia J. Sondgeroth, RPAC
• Vanessa Sorin

• Emergency Medicine Physician in Holbrook, NY
• Providers in Holbrook, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.