Individual provider Active NPI

Joan Marie Khouzam-Roberts, FNP

  • Family Nurse Practitioner
  • Delhi, NY
National Provider Identifier
1891135406
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F338046-1 Issued in NY
Practice address
135 Main St
Delhi, NY 13753-1219
Phone
(607) 746-6999
NPI assigned
Jun 27, 2013
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Sep 6, 2024 through Sep 6, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F338046-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moheb Khouzam, MD Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F338046-1 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

135 Main St
Delhi, NY 13753-1219

Mailing address

135 Main St
Delhi, NY 13753-1219
Phone (607) 746-6999

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 7, 2016.

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1891135406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 MAIN ST",
            "city": "DELHI",
            "state": "NY",
            "postal_code": "137531219",
            "telephone_number": "607-746-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MAIN ST",
            "city": "DELHI",
            "state": "NY",
            "postal_code": "137531219",
            "telephone_number": "607-746-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOUZAM-ROBERTS",
        "first_name": "JOAN",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F338046-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delhi, NY

Sources for this page

Verify at the official NPI Registry.