Active NPI
Khizer Yaseen
- Internal Medicine Physician
- Hempstead, NY
National Provider Identifier
1770494569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- P145318
- Practice address
- 100 Baldwin Rd
Hempstead, NY 11550-6844 - Phone
- (617) 586-5632
- NPI assigned
- Sep 14, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | P145318 | NY | Primary |
Addresses
Primary practice location
100 Baldwin Rd
Hempstead, NY 11550-6844
Mailing address
19 Wallis Ave
Jersey City, NJ 07306-6415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1770494569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 WALLIS AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073066415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BALDWIN RD",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115506844",
"telephone_number": "617-586-5632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YASEEN",
"first_name": "KHIZER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-14",
"last_updated": "2026-09-14",
"certification_date": "2026-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "P145318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hempstead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.