Active NPI
Shefali Khanna, MD
- Pediatrics Physician
- Bronx, NY
National Provider Identifier
1962574632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 236388
- Practice address
- 234 E 149TH St
Room 4-20
Bronx, NY 10451-5504 - Phone
- (718) 579-5800
- Fax
- (718) 579-4700
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 236388 | NY | Primary |
Addresses
Primary practice location
234 E 149TH St
Room 4-20
Bronx, NY 10451-5504
Mailing address
515 E 85TH St
Apt # 2C
New York, NY 10028-7421
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 236388 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Affiliate Group of New York PC | Current | Accepting new patients | |
| Downtown Bronx Medical Associates PC | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Locations
234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- skhanna839446@nychhc.direct-ci.com
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bronx, NY
- NPI 1689618407
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1427063270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962574632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 E 85TH ST",
"address_2": "APT # 2C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100287421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 E 149TH ST",
"address_2": "ROOM 4-20",
"city": "BRONX",
"state": "NY",
"postal_code": "104515504",
"telephone_number": "718-579-5800",
"fax_number": "718-579-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHANNA",
"first_name": "SHEFALI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "236388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.