Organization Active NPI

Constella Care of Kentucky PLLC

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1790669596
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CONSTELLA CARE OF KENTUCKY PLLC
Practice address
30 Cooper SQ FL 10
New York, NY 10003-7120
Phone
(209) 814-9705
NPI assigned
Aug 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Authorized official

Name
Mr. Zain Khan
Title
Cofounder
Phone
(209) 814-9705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

30 Cooper SQ FL 10
New York, NY 10003-7120

Mailing address

30 Cooper SQ FL 10
New York, NY 10003-7120

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1790669596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 COOPER SQ FL 10",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100037120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 COOPER SQ FL 10",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100037120",
            "telephone_number": "209-814-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSTELLA CARE OF KENTUCKY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ZAIN",
        "authorized_official_title_or_position": "COFOUNDER",
        "authorized_official_telephone_number": "209-814-9705",
        "authorized_official_name_prefix": "Mr."
    },
    "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 New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.