Individual provider Active NPI

Wajiha Khan, PA

  • Physician Assistant
  • New York, NY
National Provider Identifier
1639616808
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
020459 Issued in NY
Practice address
5 E 98TH St
New York, NY 10029-6501
Phone
(917) 349-6318
NPI assigned
Jan 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 020459 NY Primary

Addresses

Primary practice location

5 E 98TH St
New York, NY 10029-6501

Mailing address

5 E 98TH St
New York, NY 10029-6501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210122001309 NY Practitioner - Physician Assistant 8224442876 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Optum Urgent Care PLLCGroup PAC ID 8628299518, 68 clinicians

Practice addresses (Care Compare)

1047 Southern Blvd
Bronx, NY 10459-3427
Phone (646) 346-7920

1470 Metropolitan Ave
Bronx, NY 10462-7446
Phone (718) 571-9270

148 Sunrise Hwy
West Islip, NY 11795-2012
Phone (631) 620-3580

16450 Crossbay Blvd
Howard Beach, NY 11414-3749
Phone (718) 848-8412

1919 Hempstead Tpke
East Meadow, NY 11554-1710
Phone (516) 227-2273

193 W 237TH St
Bronx, NY 10463-4141
Phone (718) 303-0479

2178 White Plains Rd
Bronx, NY 10462-1406
Phone (718) 489-3555

2393 Central Park Ave
Yonkers, NY 10710-1215
Phone (914) 219-0393

32 Westchester SQ
Bronx, NY 10461-3514
Phone (646) 661-6668

336 E 86TH St
New York, NY 10028-4615
Phone (212) 772-3627

339 Main St
Huntington, NY 11743-6958
Phone (631) 470-9000

3494 Jerome Ave
Bronx, NY 10467-1002
Phone (718) 571-9282

3780 E Tremont Ave
Bronx, NY 10465-2434
Phone (646) 518-8248

388 E Fordham Rd
Bronx, NY 10458-5044
Phone (718) 489-3553

555 N Broadway
Jericho, NY 11753-2134
Phone (516) 597-5070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Aug 25, 2025 Accepting new patients
Optum Medical Care, P.C. CurrentSince Sep 1, 2022 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Aug 25, 2025 Accepting new patients

Locations

2322 30th Ave
Astoria, NY 11102
Phone (718) 267-2763

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

Interoperability endpoints

  • Direct secure messaging: wajiha.khan.1@2983.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1639616808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 E 98TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 E 98TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296501",
            "telephone_number": "917-349-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "WAJIHA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "020459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.