Active NPI
Marufa Khatun
- Internal Medicine Physician
- Flushing, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 285757
- Practice address
- 14015 Sanford Ave
Flushing, NY 11355-2686 - Phone
- (718) 670-6400
- NPI assigned
- May 7, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 285757 | NY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
14015 Sanford Ave
Flushing, NY 11355-2686
Mailing address
441 9TH Ave
New York, NY 10001-1623
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000
8823 178TH St
Jamaica, NY 11432-4639
Phone (718) 558-5047
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 285757 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kingsbrook Medical Associates PC | Current | Accepting new patients | |
| Patient Priority Medical Care, P. C. | Internal Medicine | Current | Accepting new patients |
| Interfaith Professional Physician Services, P.C. | Internal Medicine | Current | Accepting new patients |
| Kingsbrook Medical Associates, PC | Current | Accepting new patients |
Locations
585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461
1110 Eastern Pkwy
Brooklyn, NY 11213
Phone (718) 735-1900
1110 Eastern Pkwy
Pier Toussaint
Brooklyn, NY 11213
Phone (718) 735-1900
1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 4
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.
-
- Allergy Physician
- Brooklyn, NY
- NPI 1457643991
Internal Medicine
-
- Internal Medicine Physician
- Jamaica, NY
- NPI 1700429297
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1104112838
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1770844797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476748800000",
"number": "1962812248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 9TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100011623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14015 SANFORD AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113552686",
"telephone_number": "718-670-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHATUN",
"first_name": "MARUFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-07",
"last_updated": "2016-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "285757",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.