Active NPI
Wai Khine, MD
- Student in an Organized Health Care Education/Training Program
- Middletown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 707 E Main St
Middletown, NY 10940-2650 - Phone
- (845) 333-7373
- NPI assigned
- Jan 15, 2025
- Last updated
- Apr 20, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary | |
| Internal Medicine Physician | 207R00000X | P132986 | NY |
Addresses
Primary practice location
707 E Main St
Middletown, NY 10940-2650
Mailing address
3347 14TH St Apt 11a
Long Island City, NY 11106-4660
Phone (347) 455-9550
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P132986 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ilm Medical Care PLLC | Single Specialty | Current | Accepting new patients |
Locations
600 E Crescent Ave
Ste 305
Upper Saddle River, NJ 07458
2975 Independence Ave
Bronx, NY 10463
Phone (718) 542-1700
4646 Fairport Nine Mile Point Rd
Fairport, NY 14450
Phone (585) 377-0350
353 Beach 48th St
Far Rockaway, NY 11691
Phone (718) 471-5000
11919 Graham Ct
Flushing, NY 11354
Phone (718) 552-1000
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745107200000",
"number": "1649081068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3347 14TH ST APT 11A",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111064660",
"telephone_number": "347-455-9550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 E MAIN ST",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109402650",
"telephone_number": "845-333-7373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHINE",
"first_name": "WAI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-15",
"last_updated": "2025-04-20",
"certification_date": "2025-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "P132986",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.