Individual provider Active NPI

Amit Khaneja

  • Clinical Neurophysiology Physician
  • Yonkers, NY
National Provider Identifier
1922261486
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
267473 Issued in NY
Practice address
1155 Warburton Ave Apt 1U
Yonkers, NY 10701-1075
Phone
(917) 349-1489
Fax
(914) 457-5756
NPI assigned
Jul 5, 2008
Last updated
Oct 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 01094705A IN
Clinical Neurophysiology Physician 2084N0600X 267473 NY Primary

Addresses

Primary practice location

1155 Warburton Ave Apt 1U
Yonkers, NY 10701-1075

Mailing address

1155 Warburton Ave Apt 1U
Yonkers, NY 10701-1075
Phone (917) 349-1489

Other practice location 1

2400 17th St
Columbus, IN 47201-5351
Phone (812) 376-5974

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akhaneja55815@edirect.crh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, IN, ME, WV5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20110721000627 NY Practitioner - Neurology 8123296902 Reassigns benefits to 4 organizations
I20240925003823 PA Practitioner - Neurology 8123296902 Reassigns benefits to 3 organizations
I20241017003146 IN Practitioner - Neurology 8123296902 Reassigns benefits to 1 organization
I20241031002734 ME Practitioner - Neurology 8123296902 Reassigns benefits to 2 organizations
I20260212001632 WV Practitioner - Neurology 8123296902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

1 Brookdale PLZ
Brooklyn, NY 11212-3198

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356

515 Audubon Ave
New York, NY 10040-3403
Phone (718) 684-2516

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
95
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
267473NYMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph Hospital CurrentSince Oct 22, 2024 Accepting new patients
St. Joseph Medical Group Neurology CurrentSince Oct 1, 2024 Accepting new patients
Fulton County Medical Center CurrentSince Nov 1, 2024 Accepting new patients
Columbus Regional Health Physicians, LLC CurrentSince Oct 10, 2024 Accepting new patients
Fulton County Medical Center CurrentSince Nov 1, 2024 Accepting new patients
Delaware Valley Hospital, Inc Current Accepting new patients
Interfaith Professional Physician Services, P.C. CurrentSince Apr 1, 2024 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Oct 1, 2024 Accepting new patients
Stem Medical Group, PC CurrentSince Jan 4, 2026 Accepting new patients
Mount Nittany Medical Center Health Services Inc CurrentSince Feb 28, 2025 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Mar 13, 2023 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Oct 1, 2024 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Mar 13, 2023 Accepting new patients
Columbus Regional Health Physicians, LLC CurrentSince Oct 10, 2024 Accepting new patients
Amit Khaneja Neurology Practice PLLC Neurology CurrentSince May 28, 2014 Accepting new patients
St. Joseph Medical Group CurrentSince Oct 1, 2024 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Fulton County Medical Center Past Accepting new patients
The Brookdale Hospital Medical Center Past Accepting new patients
Ashraf Salem MD PC Past Accepting new patients
Delaware Valley Hospital, Inc Past Accepting new patients
Fulton County Medical Center Past Accepting new patients

Locations

501 S Cherry St
Ste 1100
Denver, CO 80246
Phone (404) 227-4864

2400 17th St
Columbus, IN 47201
Phone (812) 373-3025

360 Broadway
#L
Bangor, ME 04401
Phone (207) 262-1703

99 Campus Ave
Ste 402
Lewiston, ME 04240
Phone (207) 777-4455

2975 Independence Ave
Bronx, NY 10463
Phone (718) 542-1700

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

16 Sumner Pl
Brooklyn, NY 11206
Phone (718) 336-9500

2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

515 Audubon Ave
New York, NY 10040
Phone (212) 342-9200

141 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-7322

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

1850 E Park Ave
Ste 201
State College, PA 16803
Phone (814) 234-8800

Networks

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

Interoperability endpoints

  • Direct secure messaging: akhaneja4472489@nychhc.direct-ci.com
  • Direct secure messaging: akhaneja55815@edirect.crh.org
  • Direct secure messaging: akhaneja59397@direct.medisys.org
  • Direct secure messaging: amit.khaneja.p1@direct.premierhealthcare.nextgenshare.com
  • Direct secure messaging: amit.khaneja@direct.hvhc.org

Organizations & group practices 23

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.

View all 23

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": "1215216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1922261486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 WARBURTON AVE APT 1U",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011075",
            "telephone_number": "917-349-1489",
            "fax_number": "914-737-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 WARBURTON AVE APT 1U",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011075",
            "telephone_number": "917-349-1489",
            "fax_number": "914-457-5756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 17th St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "IN",
            "postal_code": "472015351",
            "country_code": "US",
            "telephone_number": "812-376-5974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHANEJA",
        "first_name": "AMIT",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-05",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01094705A",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NY",
            "license": "267473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akhaneja55815@edirect.crh.org",
            "affiliation": "N",
            "endpointDescription": "Direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct address",
            "address_1": "2400 17th St",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472015351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.