Organization Active NPI

Khan Medical PC

  • Internal Medicine Physician
  • Syosset, NY
National Provider Identifier
1760029052
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KHAN MEDICAL PC
Practice address
125 Michael Dr
Suite 105-45
Syosset, NY 11791-5311
Phone
(516) 855-5744
NPI assigned
Dec 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Authorized official

Name
Dr. Faiz Khan, MDNPI 1013975234
Title
Owner
Phone
(516) 855-5744

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

125 Michael Dr
Suite 105-45
Syosset, NY 11791-5311

Mailing address

125 Michael Drive
Suite 105-45
Syosset, NY 11791-5311
Phone (516) 855-5744

National Provider Directory

National Provider Directory

Locations

125 Michael Dr
Ste 44
Syosset, NY 11791

125 Michael Dr
Ste 10545
Syosset, NY 11791
Phone (516) 855-5744

Practitioners & affiliated clinicians

Practitioners 1

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": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1760029052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MICHAEL DRIVE",
            "address_2": "SUITE 105-45",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117915311",
            "telephone_number": "516-855-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MICHAEL DR",
            "address_2": "SUITE 105-45",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117915311",
            "telephone_number": "516-855-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHAN MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "FAIZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-855-5744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.