Organization Active NPI

Geri Medical P.C

  • Geriatric Medicine (Internal Medicine) Physician
  • Rosedale, NY
National Provider Identifier
1932382371
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
160701 Issued in NY
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

Updated by the provider on Dec 7, 2007

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)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
A62329OtherNYUPIN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.