Individual provider Active NPI

Nazneen Khalid, MD

  • Family Medicine Physician
  • Queens Village, NY
National Provider Identifier
1982610028
Registry record updated Mar 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
188568 Issued in NY
Practice address
21838 Hillside Ave
Queens Village, NY 11427-1916
Phone
(718) 465-7746
Fax
(718) 465-9911
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 188568 NY Primary

Addresses

Primary practice location

21838 Hillside Ave
Queens Village, NY 11427-1916

Mailing address

PO Box 40110
Glen Oaks, NY 11004-0110
Phone (917) 742-8283

Other identifiers 1

IdentifierTypeStateIssuer
01624602MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040318000018 NY Practitioner - Family Practice 7618867169 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Queens Medical Health Wellness PCGroup PAC ID 1456608058, 4 clinicians
American Medical Today PCGroup PAC ID 1254680366, 7 clinicians

Practice addresses (Care Compare)

21318 Union Tpke
Oakland Gardens, NY 11364-3522
Phone (718) 465-3200

527 Coney Island Ave
FRNT 1
Brooklyn, NY 11218-3476
Phone (718) 306-5025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Family Medicine Current Accepting new patients
New York Community Hospital of Brooklyn Inc CurrentSince Feb 28, 2018 Accepting new patients
Quality Medical Provider PC Family Medicine CurrentSince May 5, 2019 Accepting new patients
American Medical Today P.C. CurrentSince Dec 10, 2022 Accepting new patients
Queens Medical Health Wellness PC CurrentSince Feb 1, 2022 Accepting new patients
Doshi Diagnostic Imaging Services PC Past Accepting new patients
Imtiyaz I Kapadwala DPM PC Past Accepting new patients

Locations

2525 Kings Hwy
Brooklyn, NY 11229
Phone (718) 692-5300

527 Coney Island Ave
Frnt 1
Brooklyn, NY 11218
Phone (718) 306-5025

474 Ovington Ave
Brooklyn, NY 11209
Phone (347) 298-4100

3201 Kings Hwy
Brooklyn, NY 11234
Phone (718) 252-3000

26701 Hillside Ave
Glen Oaks, NY 11004
Phone (347) 894-9531

350 Jericho Tpke
Ste 312
Jericho, NY 11753
Phone (646) 673-5067

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

21318 Union Tpke
Oakland Gdns, NY 11364
Phone (718) 465-3200

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521158400000",
    "number": "1982610028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40110",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110040110",
            "telephone_number": "917-742-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21838 HILLSIDE AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114271916",
            "telephone_number": "718-465-7746",
            "fax_number": "718-465-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALID",
        "first_name": "NAZNEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2018-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "188568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01624602",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

Verify at the official NPI Registry.