Fair Medical Care PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

215951 Issued in NY

Legal business name

FAIR MEDICAL CARE PC

Practice address

104-06 Sutter Avenue
Ozone Park
Queens, NY 11417

Phone

(718) 322-7429

Fax

(718) 322-7518

NPI assigned

Apr 24, 2008

Last updated

Apr 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Rehana Iqbal Khan, MD

Title

President

Phone

(718) 322-7429

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1871768523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104-06 SUTTER AVENUE",
            "address_2": "OZONE PARK",
            "city": "QUEENS",
            "state": "NY",
            "postal_code": "11417",
            "telephone_number": "718-322-7429",
            "fax_number": "718-322-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104-06 SUTTER AVENUE",
            "address_2": "OZONE PARK",
            "city": "QUEENS",
            "state": "NY",
            "postal_code": "11417",
            "telephone_number": "718-322-7429",
            "fax_number": "718-322-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIR MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "REHANA",
        "authorized_official_middle_name": "IQBAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-322-7429",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "2348561",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "215951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikesha A Duplan, N.P
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• Valerie Edwin, LCSW
• Taylor J Eichenlaub
• Najaah Ellis
• Christopher Michael Fevola, PA-C
• Jean Paul Fils
• Nicole Alexandra Fishelman, M.S. CCC-SLP, TSSLD
• Jason Forde
• Adithan Ganesh, M.D.

• Pediatrics Physician in Queens, NY
• Providers in Queens, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.