NPIMap

Organization Active NPI

Sajid Khan MD PC

  • Internal Medicine Physician
  • Glen Cove, NY
National Provider Identifier
1639428287
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
253659 Issued in NY
Legal business name
SAJID KHAN MD PC
Practice address
10 Medical PLZ
Suite 303
Glen Cove, NY 11542-2101
Phone
(516) 430-1671
NPI assigned
Aug 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Authorized official

Name
Mr. Sajid KhanNPI 1295975704
Title
MD
Phone
(516) 430-1671

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 253659 NY Primary

Addresses

Primary practice location

10 Medical PLZ
Suite 303
Glen Cove, NY 11542-2101

Mailing address

PO Box 3609
New Hyde Park, NY 11040-8609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121020000031 NY Part B Supplier - Clinic/Group Practice 1153571567 Receives reassigned benefits from 1 practitioner
Practice locations: Roslyn, NY; New Hyde Park, NY; Queens Village, NY; Manhasset, NY

National Provider Directory

National Provider Directory

Locations

10 Medical Plz
Ste 303
Glen Cove, NY 11542
Phone (516) 671-9895

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1639428287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3609",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110408609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEDICAL PLZ",
            "address_2": "SUITE 303",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422101",
            "telephone_number": "516-430-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAJID KHAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SAJID",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "516-430-1671",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "253659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.