Organization Active NPI

Afshan Khan Physician PC

  • Pediatrics Physician
  • Bronx, NY
National Provider Identifier
1629198775
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
198462 Issued in NY
Legal business name
AFSHAN KHAN PHYSICIAN PC
Practice address
1654 Mayflower Ave
Bronx, NY 10461-4818
Phone
(718) 823-7180
Fax
(718) 823-0839
NPI assigned
Mar 30, 2007
Last updated
Sep 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Authorized official

Name
Afshan Murad Khan, M.DNPI 1184812257
Title
President
Phone
(718) 823-7180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 198462 NY Primary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 198462 NY

Addresses

Primary practice location

1654 Mayflower Ave
Bronx, NY 10461-4818

Mailing address

1654 Mayflower Ave
Bronx, NY 10461-4818
Phone (718) 823-7180

Other identifiers 1

IdentifierTypeStateIssuer
01810246MedicaidNY

National Provider Directory

National Provider Directory

Locations

1654 Mayflower Ave
Bronx, NY 10461
Phone (718) 823-7180

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1629198775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1654 MAYFLOWER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614818",
            "telephone_number": "718-823-7180",
            "fax_number": "718-823-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1654 MAYFLOWER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614818",
            "telephone_number": "718-823-7180",
            "fax_number": "718-823-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFSHAN KHAN PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AFSHAN",
        "authorized_official_middle_name": "MURAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-823-7180",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "198462",
            "primary": true
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NY",
            "license": "198462",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01810246",
            "state": "NY"
        }
    ],
    "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 Sep 28, 2007; 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.