Active NPI
Mina Khan
- Social Worker
- New York, NY
National Provider Identifier
1619792009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 120961
- Practice address
- 60 E 42ND St FL 46
New York, NY 10165-0043 - Phone
- (914) 855-0117
- NPI assigned
- Nov 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 120961 | Primary |
Addresses
Primary practice location
60 E 42ND St FL 46
New York, NY 10165-0043
Mailing address
7 Balint Dr Apt 516
Yonkers, NY 10710-3928
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1619792009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 BALINT DR APT 516",
"city": "YONKERS",
"state": "NY",
"postal_code": "107103928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 E 42ND ST FL 46",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101650043",
"telephone_number": "914-855-0117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "MINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-20",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": "120961",
"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 Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.