Active NPI
Elisa Khanna
- Dentist
- Floral Park, NY
National Provider Identifier
1760892384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 058281-1
- Practice address
- 8519 263Rd St
Floral Park, NY 11001-1137 - Phone
- (516) 466-5222
- NPI assigned
- May 5, 2014
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 058281-1 | NY | Primary |
Addresses
Primary practice location
8519 263Rd St
Floral Park, NY 11001-1137
Mailing address
488 Great Neck Rd
Great Neck, NY 11021-4315
Phone (917) 225-2538
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 |
|---|---|---|---|
| 058281-1 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484265600000",
"number": "1760892384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "488 GREAT NECK RD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110214315",
"telephone_number": "917-225-2538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8519 263RD ST",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110011137",
"telephone_number": "516-466-5222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHANNA",
"first_name": "ELISA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-05",
"last_updated": "2017-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "058281-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Floral Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.