Tarek R Khater

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

TAREK R KHATER

Practice address

2814 31St St
Suite 501
Astoria, NY 11102

Phone

(917) 960-0821

Fax

(713) 575-3865

NPI assigned

Feb 29, 2016

Organization subpart

No

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

Authorized official

Name

Tarek R Khater, MDNPI 1720456049

Title

Owener

Phone

(917) 960-0821

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Tarek R Khater Medical Services Doing business as

Practitioners 1

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

• Tarek R Khater, M.D.,

  • General Practice Physician
  • New York, NY
  • NPI 1720456049
  NPD Authorized official

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596844800000",
    "number": "1679933998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 672",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280044",
            "telephone_number": "917-960-0821",
            "fax_number": "646-952-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 31ST ST",
            "address_2": "SUITE 501",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11102",
            "telephone_number": "917-960-0821",
            "fax_number": "713-575-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAREK R KHATER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2020-08-08",
        "certification_date": "2020-08-08",
        "status": "A",
        "authorized_official_last_name": "KHATER",
        "authorized_official_first_name": "TAREK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWENER",
        "authorized_official_telephone_number": "917-960-0821",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NY",
            "license": "300724",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DBA",
            "identifier": "3517284",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NYC MRC",
            "identifier": "128919",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCI",
            "identifier": "00093517",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARDMS",
            "identifier": "175911",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMA (ME#)",
            "identifier": "91504840501",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tarek R Khater Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Omar Tamimi, M.D.
• Engkock Tan, MD
• Noel O. Tan
• Manisa Tanprayoon, PHARM.D.
• Katherine Tarazona Sanchez, OT
• Amad Tariq, DC
• Nicole Jennifer Tarone
• Andrew Tate, LMSW
• Maurice Tayag
• Jennifer Taylor, CSW

• Health Service Clinic/Center in Astoria, NY
• Providers in Astoria, NY by specialty
• Health Service Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2020; 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.