NPIMap

Organization Active NPI

Universal Medical Care, PC

  • Psychiatry Physician
  • Ozone Park, NY
National Provider Identifier
1679665285
Registry record updated Oct 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
60-55096 Issued in NY
Legal business name
UNIVERSAL MEDICAL CARE, PC
Practice address
9217 101St Ave
Ozone Park, NY 11416-2316
Phone
(718) 845-6500
Fax
(718) 846-6569
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2013

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

Authorized official

Name
Dr. Shafiq Rehman Khokhar, MDNPI 1871685495
Title
MD
Phone
(718) 845-6500

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
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 60-55096 NY Primary

Addresses

Primary practice location

9217 101St Ave
Ozone Park, NY 11416-2316

Mailing address

90 N Sheridan Ave
Bethpage, NY 11714-3611
Phone (718) 845-6500

Other identifiers 1

IdentifierTypeStateIssuer
03436679MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041006001306 NY Part B Supplier - Clinic/Group Practice 1052370988 Receives reassigned benefits from 3 practitioners
Practice locations: Bethpage, NY; Ozone Park, NY

National Provider Directory

National Provider Directory
Tax ID family
Universal Medcl Care PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

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": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382832000000",
    "number": "1679665285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 N SHERIDAN AVE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143611",
            "telephone_number": "718-845-6500",
            "fax_number": "718-845-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9217 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162316",
            "telephone_number": "718-845-6500",
            "fax_number": "718-846-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL MEDICAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2013-10-27",
        "status": "A",
        "authorized_official_last_name": "KHOKHAR",
        "authorized_official_first_name": "SHAFIQ",
        "authorized_official_middle_name": "REHMAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-845-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "60-55096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03436679",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2013; 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.