Muhammad Nizam Uddin Khan

Primary specialty

Social WorkerTaxonomy code 104100000X

License

126748 Issued in NY

Practice address

17 Bayview Place
Amityville, NY 11701-3905

Phone

(347) 279-8327

NPI assigned

May 7, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1982494688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BAYVIEW PLACE",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "11701",
            "telephone_number": "347-279-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 BAYVIEW PLACE",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117013905",
            "telephone_number": "347-279-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MUHAMMAD",
        "middle_name": "NIZAM UDDIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "126748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor L Kelly
• Alice Virginia Kernizan, LPN
• Lawrence Jay Kessler, DO
• Kevin Paul Cotterell, MD PC
• Abid Iqbal Khan, MD
• Kathryn Tan Kho, P.T.
• Tara Michelle Kilkelly, LMSW
• Judith Kitzes, L.C.S.W.
• Maryellen Klaiber, N.P.
• Klarity Optical 2020 Inc

• Social Worker in Amityville, NY
• Providers in Amityville, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.