Front Street Medical PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

228173 Issued in NY

Legal business name

FRONT STREET MEDICAL PC

Practice address

11045 Queens Blvd
Suite Aa
Forest Hills, NY 11375-5501

Phone

(718) 268-4468

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David G Khanan, MDNPI 1902813728

Title

President

Phone

(516) 565-4370

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Khanan, MD

  • Physical Medicine & Rehabilitation Physician
  • Hempstead, NY
  • NPI 1902813728
  NPD (past) Authorized official
• Andrew Demarco, DC

  • Chiropractor
  • Hempstead, NY
  • NPI 1144383845
  NPD (past)
• Ehab Ahmed Hassanain, M.D.

  • General Practice Physician
  • West Babylon, NY
  • NPI 1700174729
  NPD (past)
• Khurshid Ibrahimi

  • Physical Therapist
  • Bethpage, NY
  • NPI 1912494279
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790992030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 FRONT ST",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504534",
            "telephone_number": "516-565-4370",
            "fax_number": "516-565-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11045 QUEENS BLVD",
            "address_2": "SUITE AA",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755501",
            "telephone_number": "718-268-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT STREET MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHANAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-565-4370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "228173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED LIC",
            "identifier": "228173",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rochelle Jean Friedman, ACSW
• Samuel H Friedman, MD
• Sarah Friedman
• Ariella Fromowitz
• Beatrice Frons
• Miriam Frucht, MS, RD, CDN
• Cary Frumess, LCSW
• Xu Dong Fu, L. AC.
• Marie Angeli Fuentes, PA-C
• Vivian Fulton, PT

• Physical Medicine & Rehabilitation Physician in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.