Seyyar Khan MD PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

SEYYAR KHAN MD PC

Practice address

3027 Jericho Tpke
East Northport, NY 11731-6230

Phone

(718) 737-2820

NPI assigned

Jun 12, 2024

Organization subpart

No

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

Authorized official

Name

Seyyar A Khan, MDNPI 1831429406

Title

Owner

Phone

(718) 737-2820

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Seyyar Ahmad Khan

  • Nephrology Physician
  • Jackson Heights, NY
  • NPI 1831429406
  Medicare reassignment NPD Authorized official
• Shahab A Khan, M.D.

  • Internal Medicine Physician
  • New Hyde Park, NY
  • NPI 1962812552
  NPD

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1912749565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3027 JERICHO TPKE",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117316230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3027 JERICHO TPKE",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117316230",
            "telephone_number": "718-737-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEYYAR KHAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SEYYAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-737-2820",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Scotto, RN
• Anna Segal
• Brooke Danielle Seligson
• Cheryl L Senzer, AU.D.
• Kathleen Sexton, P.T.,DPT
• Monica Ann Shaffery, MS IN EDUCATION
• Lisa Shapir, PSYD
• Victoria Shea, RPH,MBA
• Frank Randall Sherman, DC
• Maria A. Shields, D.D.S.

• Nephrology Physician in East Northport, NY
• Providers in East Northport, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.

Verify at the official NPI Registry.