Individual provider Active NPI

Aijaz Khan, M.D.

  • Family Medicine Physician
  • Oceanside, NY
National Provider Identifier
1912984063
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2049621 Issued in NY
Practice address
187 Dot CT
Oceanside, NY 11572-5920
Phone
(516) 764-3310
Fax
(516) 766-0918
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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 2049621 NY Primary

Addresses

Primary practice location

187 Dot CT
Oceanside, NY 11572-5920

Mailing address

187 Dot CT
Oceanside, NY 11572-5920
Phone (516) 764-3310

Other identifiers 1

IdentifierTypeStateIssuer
01933646MedicaidNY

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
I20050421001596 NY Practitioner - Family Practice 7911944350 Reassigns benefits to 1 organization
Practice locations: Oceanside, NY

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

187 Dot Court E
Oceanside, NY 11572-5920
Phone (516) 764-3310

Hospital & facility affiliations

  • Mt. Sinai at Home Home health agency, Westbury, NY, CCN 337246
  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • Meadowbrook Care Center Nursing home, Freeport, NY, CCN 335796
  • Beach Terrace Care Center Nursing home, Long Beach, NY, CCN 335024

Merit-based Incentive Payment System (MIPS)

Final score
20.7 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
69

Merit-based Incentive Payment System (MIPS)

Final score
22.4 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.66

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2049621NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A Khan Physician PC CurrentSince Sep 22, 2018 Accepting new patients
Beach Terrace Care Center Inc Past Accepting new patients
Meadowbrook Care Center, Inc. Past Accepting new patients

Locations

320 W Merrick Rd
Freeport, NY 11520
Phone (516) 377-2946

187 Dot Ct E
Oceanside, NY 11572
Phone (516) 764-3310

Networks

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lynbrook Restorative Therapy and NursingLynbrook, NY, CCN 335160 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2023
Nov 13, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1912984063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 DOT CT",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725920",
            "telephone_number": "516-764-3310",
            "fax_number": "516-766-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 DOT CT",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725920",
            "telephone_number": "516-764-3310",
            "fax_number": "516-766-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AIJAZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "2049621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01933646",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

Verify at the official NPI Registry.