Active NPI
Omolbanin Falah-Khir
- General Practice Physician
- Bronx, NY
National Provider Identifier
1720868284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- P124102
- Practice address
- 2700 Eastchester Rd
Bronx, NY 10469-5923 - Phone
- (718) 583-7736
- Fax
- (718) 537-6180
- NPI assigned
- Oct 3, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | P124102 | NY | Primary |
Addresses
Primary practice location
2700 Eastchester Rd
Bronx, NY 10469-5923
Mailing address
2626 Halperin Ave
Bronx, NY 10461-2631
Phone (718) 618-0401
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 |
|---|---|---|---|
| P124102 | NY | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1720868284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2626 HALPERIN AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104612631",
"telephone_number": "718-618-0401",
"fax_number": "347-479-1303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 EASTCHESTER RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104695923",
"telephone_number": "718-583-7736",
"fax_number": "718-537-6180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALAH-KHIR",
"first_name": "OMOLBANIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-03",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NY",
"license": "P124102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.