Individual provider Active NPI

Ammar Khan, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Maspeth, NY
National Provider Identifier
1730582362
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
018024 Issued in NY
Practice address
7301 Grand Ave
Maspeth, NY 11378-1523
Phone
(718) 457-5900
NPI assigned
Sep 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 018024 NY Primary

Addresses

Primary practice location

7301 Grand Ave
Maspeth, NY 11378-1523

Mailing address

7301 Grand Ave
Maspeth, NY 11378-1523

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160711001773 NY Practitioner - Physician Assistant 1355633454 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10202 Liberty Ave
Ozone Park, NY 11417-1727
Phone (718) 571-9265

1117 Old Country Rd
Plainview, NY 11803-5019
Phone (516) 938-5900

129 Sunrise Hwy W
Patchogue, NY 11772-1846
Phone (631) 230-5775

1757 Sunrise Hwy
Bay Shore, NY 11706-6014

1850 Sunrise Hwy
Bay Shore, NY 11706-6012
Phone (631) 581-5900

19120 Northern Blvd
Flushing, NY 11358-2829
Phone (718) 244-8855

1919 Hempstead Tpke
East Meadow, NY 11554-1710
Phone (516) 227-2273

1930 Deer Park Ave
Deer Park, NY 11729-3328
Phone (631) 254-5900

1989 Merrick Rd
Merrick, NY 11566-4643
Phone (516) 584-4448

2280 N Ocean Ave
Farmingville, NY 11738-2911
Phone (631) 698-7828

234 W Jericho Tpke
Huntington Station, NY 11746-3628
Phone (631) 423-5400

235 Glen Cove Rd
Carle Place, NY 11514-1221
Phone (516) 877-2273

2459 Merrick Rd
Bellmore, NY 11710-5703
Phone (516) 826-2273

292 Herricks Rd
Mineola, NY 11501-1119
Phone (516) 746-2273

30 Franklin Ave
Franklin Square, NY 11010-2527
Phone (516) 352-0253

3111 Steinway St
Astoria, NY 11103-3908
Phone (718) 475-2345

3276 Hempstead Tpke
Levittown, NY 11756-1345
Phone (516) 796-2273

336 E 86TH St
New York, NY 10028-4615
Phone (212) 772-3627

358 Jericho Tpke
Syosset, NY 11791-4544
Phone (516) 677-9200

399 Fort Salonga Rd
Northport, NY 11768-3045
Phone (631) 757-5400

415 Northern Blvd
Great Neck, NY 11021-4812
Phone (516) 829-2273

4410 Sunrise Hwy
Massapequa, NY 11758-5346
Phone (516) 998-1024

47 Route 25a
Rocky Point, NY 11778-8846
Phone (631) 821-5900

4724 Nesconset Hwy
Port Jefferson Station, NY 11776-2580
Phone (631) 474-5900

519 W Jericho Tpke
Smithtown, NY 11787-2619
Phone (631) 360-5900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince May 14, 2017 Accepting new patients
North Shore - Lij Medical PC CurrentSince Mar 28, 2018 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince May 14, 2017 Accepting new patients
Pharma Holding Inc PastSince Jul 23, 2023 Accepting new patients
Rockland Medical Group, PLLC PastSince Apr 15, 2017 Accepting new patients

Locations

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

300 Community Dr
Plandome, NY 11030

Interoperability endpoints

  • Direct secure messaging: ammar.khan.1@2983.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1730582362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 GRAND AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 GRAND AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781523",
            "telephone_number": "718-457-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AMMAR",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-26",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "018024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maspeth, NY

Sources for this page

Verify at the official NPI Registry.