Active NPI
Ny Physiatry P.C.
- Physical Medicine & Rehabilitation Physician
- Melville, NY
National Provider Identifier
1821584194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- NY PHYSIATRY P.C.
- Practice address
- 10 Lyndon PL
Melville, NY 11747-4255 - Phone
- (786) 445-0495
- Fax
- (540) 300-9321
- NPI assigned
- Jul 10, 2018
- 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
- Dr. Bilal A Khan, DO
- Title
- Physician
- Phone
- (786) 445-0495
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
10 Lyndon PL
Melville, NY 11747-4255
Mailing address
10 Lyndon PL
Melville, NY 11747-4255
Phone (786) 445-0495
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Saint James, NY
- NPI 1790073088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701388800000",
"number": "1821584194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 LYNDON PL",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117474255",
"telephone_number": "786-445-0495",
"fax_number": "540-300-9321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 LYNDON PL",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117474255",
"telephone_number": "786-445-0495",
"fax_number": "540-300-9321"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NY PHYSIATRY P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-10",
"last_updated": "2023-12-01",
"certification_date": "2023-12-01",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "BILAL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "786-445-0495",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.