Organization Active NPI

Altaf a Khan

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1942337480
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ALTAF A KHAN
Practice address
610 Wilson Ave
Brooklyn, NY 11207-1509
Phone
(718) 443-0478
Fax
(718) 443-0478
NPI assigned
Feb 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Altaf A Khan, M.D.NPI 1215012901
Title
M.D.
Phone
(718) 443-0478

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

610 Wilson Ave
Brooklyn, NY 11207-1509

Mailing address

610 Wilson Ave
Brooklyn, NY 11207-1509
Phone (718) 443-0478

Other identifiers 1

IdentifierTypeStateIssuer
00218240MedicaidNY

National Provider Directory

National Provider Directory

Locations

610 Wilson Ave
Brooklyn, NY 11207
Phone (718) 443-0478

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942337480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 WILSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112071509",
            "telephone_number": "718-443-0478",
            "fax_number": "718-443-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 WILSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112071509",
            "telephone_number": "718-443-0478",
            "fax_number": "718-443-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAF A KHAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ALTAF",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "718-443-0478",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00218240",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.