Organization Active NPI

Stanley Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1821519984
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
234133 Issued in NY
Legal business name
STANLEY MEDICAL PC
Practice address
809 Stanley Ave
Brooklyn, NY 11207-8103
Phone
(718) 277-5500
Fax
(718) 277-2400
NPI assigned
Jun 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Zaber Ahmad Khan, MD
Title
President
Phone
(646) 752-7058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 234133 NY Primary

Addresses

Primary practice location

809 Stanley Ave
Brooklyn, NY 11207-8103

Mailing address

809 Stanley Ave
Brooklyn, NY 11207-8103
Phone (718) 277-5500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1821519984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 STANLEY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112078103",
            "telephone_number": "718-277-5500",
            "fax_number": "718-277-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 STANLEY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112078103",
            "telephone_number": "718-277-5500",
            "fax_number": "718-277-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ZABER",
        "authorized_official_middle_name": "AHMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-752-7058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "234133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.