Individual provider Active NPI

Haneef Akhtab

  • Registered Nurse
  • Flushing, NY
National Provider Identifier
1902235807
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
665247 Issued in NY
Practice address
14944 Delaware Ave FL 2
Flushing, NY 11355-1319
Phone
(917) 716-8870
NPI assigned
Nov 1, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 665247 NY Primary

Addresses

Primary practice location

14944 Delaware Ave FL 2
Flushing, NY 11355-1319

Mailing address

14944 Delaware Ave FL 2
Flushing, NY 11355-1319
Phone (917) 716-8870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
665247NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383264000000",
    "number": "1902235807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14944 DELAWARE AVE FL 2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551319",
            "telephone_number": "917-716-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14944 DELAWARE AVE FL 2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551319",
            "telephone_number": "917-716-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKHTAB",
        "first_name": "HANEEF",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-01",
        "last_updated": "2013-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "665247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; 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.