Active NPI
Azahm Khan
- Behavior Analyst
- New York, NY
National Provider Identifier
1689334658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 78-P128732-01
- Practice address
- 127 W 30TH St FL 9
New York, NY 10001-3406 - Phone
- (914) 200-3472
- NPI assigned
- Dec 17, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Behavior Analyst | 103K00000X | 78-P128732-01 | NY | Primary |
Addresses
Primary practice location
127 W 30TH St FL 9
New York, NY 10001-3406
Mailing address
1133 Westchester Ave Ste N-230
White Plains, NY 10604-3522
Other practice location 1
1133 Westchester Ave Ste N-230
White Plains, NY 10604-3522
Phone (212) 564-2350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78-P128732-01 | NY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1689334658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 WESTCHESTER AVE STE N-230",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106043522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 W 30TH ST FL 9",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100013406",
"telephone_number": "914-200-3472"
}
],
"practiceLocations": [
{
"address_1": "1133 Westchester Ave Ste N-230",
"address_purpose": "LOCATION",
"city": "White Plains",
"state": "NY",
"postal_code": "106043522",
"country_code": "US",
"telephone_number": "212-564-2350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "AZAHM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-12-17",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "NY",
"license": "78-P128732-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.