Active NPI
Sofia Khwaja
- Behavior Analyst
- Melville, NY
National Provider Identifier
1780138370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 855956983
- Practice address
- 538 Broadhollow Rd
Melville, NY 11747-3676 - Phone
- (631) 385-7780
- NPI assigned
- Aug 11, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 855956983 | NY | Primary |
Addresses
Primary practice location
538 Broadhollow Rd
Melville, NY 11747-3676
Mailing address
8 Madison LN Apt 1H
Carle Place, NY 11514-1016
Phone (516) 524-7180
Other names 1
- Mrs. Sofia Khan
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 |
|---|---|---|---|
| 855956983 | NY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470873600000",
"number": "1780138370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 MADISON LN APT 1H",
"city": "CARLE PLACE",
"state": "NY",
"postal_code": "115141016",
"telephone_number": "516-524-7180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "538 BROADHOLLOW RD",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117473676",
"telephone_number": "631-385-7780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHWAJA",
"first_name": "SOFIA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-11",
"last_updated": "2016-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "855956983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SOFIA",
"last_name": "KHAN",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.