Active NPI
Geri Medical P.C
- Geriatric Medicine (Internal Medicine) Physician
- Rosedale, NY
National Provider Identifier
1932382371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 160701
- Legal business name
- GERI MEDICAL P.C
- Practice address
- 13177 234TH St
Rosedale, NY 11422-1311 - Phone
- (718) 527-1246
- Fax
- (718) 341-4111
- NPI assigned
- Dec 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Noor Z. Khan, M.D
- Title
- Phyisican
- Phone
- (718) 527-1246
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 160701 | NY | Primary |
Addresses
Primary practice location
13177 234TH St
Rosedale, NY 11422-1311
Mailing address
13177 234TH St
Rosedale, NY 11422-1311
Phone (718) 527-1246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A62329 | Other | NY | UPIN |
National Provider Directory
National Provider DirectoryLocations
13177 234th St
Rosedale, NY 11422
Phone (718) 527-1246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196985600000",
"number": "1932382371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13177 234TH ST",
"city": "ROSEDALE",
"state": "NY",
"postal_code": "114221311",
"telephone_number": "718-527-1246",
"fax_number": "718-341-4111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13177 234TH ST",
"city": "ROSEDALE",
"state": "NY",
"postal_code": "114221311",
"telephone_number": "718-527-1246",
"fax_number": "718-341-4111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERI MEDICAL P.C",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-07",
"last_updated": "2007-12-07",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "NOOR",
"authorized_official_middle_name": "Z.",
"authorized_official_title_or_position": "PHYISICAN",
"authorized_official_telephone_number": "718-527-1246",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NY",
"license": "160701",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "A62329",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rosedale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.