Individual provider Active NPI

Naznin Khan, M.D.

  • Family Medicine Physician
  • Jamaica, NY
National Provider Identifier
1891926853
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
253294 Issued in NY
Practice address
118-11 Guy R Brewer Blvd
Jamaica, NY 11434-4006
Phone
(718) 945-7150
Fax
(718) 978-6888
NPI assigned
Aug 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 253294 NY Primary

Addresses

Primary practice location

118-11 Guy R Brewer Blvd
Jamaica, NY 11434-4006

Mailing address

6200 Beach Channel Dr
Arverne, NY 11692-1409
Phone (718) 945-7150

Other identifiers 1

IdentifierTypeStateIssuer
03141426MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091008000450 NY Practitioner - Family Practice 2466598271 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jamaica HospitalGroup PAC ID 2264324334, 252 clinicians

Practice addresses (Care Compare)

13303 Jamaica Ave
Richmond Hill, NY 11418-2618
Phone (718) 291-3276

14918 Jamaica Ave
Jamaica, NY 11435-4038
Phone (718) 526-5500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
253294NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph P. Addabbo Family Health Center, Inc. CurrentSince Feb 27, 2025 Accepting new patients
Jamaica Hospital CurrentSince Jun 6, 2025 Accepting new patients
Joseph P. Addabbo Family Health Center, Inc. Current Accepting new patients
Joseph P. Addabbo Family Health Center, Inc. Current Accepting new patients
Jamaica Hospital CurrentSince Jun 6, 2025 Accepting new patients
Joseph P. Addabbo Family Health Center, Inc. CurrentSince Feb 27, 2025 Accepting new patients
Jamaica Hospital Medical Center Past Accepting new patients

Locations

6200 Beach Channel Dr
Arverne, NY 11692
Phone (718) 945-2400

6200 Beach Channel Dr
Fl 3
Arverne, NY 11692
Phone (929) 995-0733

120 Richards St
Brooklyn, NY 11231
Phone (718) 834-8202

11811 Guy R Brewer Blvd
Jamaica, NY 11434

14918 Jamaica Ave
Jamaica, NY 11435
Phone (718) 523-5500

80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: nkhan494939@direct.medisys.org

Organizations & group practices 7

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1891926853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 BEACH CHANNEL DR",
            "city": "ARVERNE",
            "state": "NY",
            "postal_code": "116921409",
            "telephone_number": "718-945-7150",
            "fax_number": "718-945-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118-11 GUY R BREWER BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114344006",
            "telephone_number": "718-945-7150",
            "fax_number": "718-978-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "NAZNIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-07",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "253294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03141426",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.