Active NPI
Karim El Kholy, DDS
- Periodontics
- New York, NY
National Provider Identifier
1598996068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 063008
- Practice address
- 630 West 168TH Street,
PH-7E-124
New York, NY 10032-3725 - Phone
- (646) 317-1947
- NPI assigned
- Aug 1, 2009
- Last updated
- Mar 22, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901019712 | MI | |
| Periodontics | 1223P0300X | 063008 | NY | Primary |
Addresses
Primary practice location
630 West 168TH Street,
PH-7E-124
New York, NY 10032-3725
Mailing address
630 West 168TH Street,
PH-7E-124
New York, NY 10032-3725
Phone (646) 317-1947
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901019712 | MI | MD | Dentist |
| 063008 | NY | MD | Periodontist |
Interoperability endpoints
- kae7024@direct.nyp.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1598996068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 WEST 168TH STREET,",
"address_2": "PH-7E-124",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323725",
"telephone_number": "646-317-1947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 WEST 168TH STREET,",
"address_2": "PH-7E-124",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323725",
"telephone_number": "646-317-1947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EL KHOLY",
"first_name": "KARIM",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-01",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901019712",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "063008",
"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 Mar 22, 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.