Organization Active NPI

Latina Medical Office, P.C.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1992854855
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
234133-1 Issued in NY
Legal business name
LATINA MEDICAL OFFICE, P.C.
Practice address
188A Dahill Road
Brooklyn, NY 11218-3151
Phone
(646) 752-7058
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2009

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

Authorized official

Name
Dr. Zaber Ahmad Khan, M.D.
Title
President
Phone
(646) 752-7058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 234133-1 NY Primary

Addresses

Primary practice location

188A Dahill Road
Brooklyn, NY 11218-3151

Mailing address

303 Beverley Rd
Apt # 1P
Brooklyn, NY 11218-3151
Phone (718) 686-6397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090617000164 NY Part B Supplier - Clinic/Group Practice 8022112499 Receives reassigned benefits from 9 practitioners
Practice locations: Brooklyn, NY; Buffalo, NY; Jamaica, NY; Ozone Park, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1063491Latina Medical Office PC188A Dahill Road, Brooklyn, NY 11218Certificate of waiverJan 15, 2027

National Provider Directory

National Provider Directory

Locations

188 Dahill Rd
Ste A
Brooklyn, NY 11218
Phone (646) 752-7058

809 Stanley Ave
Brooklyn, NY 11207
Phone (646) 752-7058

3445 Bailey Ave
Buffalo, NY 14215
Phone (716) 895-5000

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1992854855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 BEVERLEY RD",
            "address_2": "APT # 1P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183151",
            "telephone_number": "718-686-6397",
            "fax_number": "718-686-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188A DAHILL ROAD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183151",
            "telephone_number": "646-752-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATINA MEDICAL OFFICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ZABER",
        "authorized_official_middle_name": "AHMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-752-7058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "234133-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.