Active NPI
SK Nurse Practitioner in Psychiatry P.C
- Psychiatric/Mental Health Nurse Practitioner
- Astoria, NY
National Provider Identifier
1801727656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- SK NURSE PRACTITIONER IN PSYCHIATRY P.C
- Practice address
- 3119 Newtown Ave Ste 500
Astoria, NY 11102-1392 - Phone
- (516) 515-9595
- Fax
- (516) 534-5053
- NPI assigned
- May 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott Kolesar-Khan, NP
- Title
- Owner
- Phone
- (516) 515-9595
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
3119 Newtown Ave Ste 500
Astoria, NY 11102-1392
Mailing address
3119 Newtown Ave Ste 500
Astoria, NY 11102-1392
Phone (516) 515-9595
National Provider Directory
National Provider DirectoryLocations
3119 Newtown Ave
Ste 500
Astoria, NY 11102
Phone (516) 515-9595
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Bethpage, NY
- NPI 1881347185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779926400000",
"number": "1801727656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3119 NEWTOWN AVE STE 500",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111021392",
"telephone_number": "516-515-9595",
"fax_number": "516-534-5053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3119 NEWTOWN AVE STE 500",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111021392",
"telephone_number": "516-515-9595",
"fax_number": "516-534-5053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SK NURSE PRACTITIONER IN PSYCHIATRY P.C",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-28",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A",
"authorized_official_last_name": "KOLESAR-KHAN",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-515-9595",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.