DR. JAUDAT H KHAN (NPI# 1457683179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457683179 |
| Entity Type | Individual |
| Full Name | DR. JAUDAT H KHAN |
| Credential | MD |
| Practice Address |
1366 Victory Blvd Staten Island NY 10301-3907 |
| Practice Telephone | 7182733400 |
| Mailing Telephone | 7182733400 |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2015-12-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
270723 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1366 VICTORY BLVD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10301-3907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740285238 | Nicolas C Lansigan Jr. | Surgery | 1366 Victory Blvd, Richmond Surgical Associates Pllc, Staten Island, NY 10301-3907 | 2005-06-20 |
| 1689817363 | Lina Leykina | Internal Medicine | 1366 Victory Blvd, Suite A, Staten Island, NY 10301-3907 | 2009-04-11 |
| 1003067091 | Samala R Swamy, Md, PC | Internal Medicine | 1366 Victory Blvd, Suite B, Staten Island, NY 10301-3907 | 2008-10-08 |
| 1760667323 | Jessica Ann Riepe | Physician Assistant | 1366 Victory Blvd, Staten Island, NY 10301-3907 | 2008-01-02 |
| 1831386424 | Philip Edward Otterbeck | Internal Medicine | 1366 Victory Blvd, Suite A, Staten Island, NY 10301-3907 | 2007-09-27 |
| 1720203607 | Jessica Crespo | Physician Assistant | 1366 Victory Blvd, Suite B, Staten Island, NY 10301-3907 | 2007-04-16 |
| 1558416776 | Bhavesh Gala | Internal Medicine | 1366 Victory Blvd, Ste B, Staten Island, NY 10301-3907 | 2007-01-25 |
| 1861415580 | Zahir H Rahman | Internal Medicine | 1366 Victory Blvd, Suite B, Staten Island, NY 10301-3907 | 2006-07-25 |
| 1679517270 | Knickerbocker Dialysis Inc | Clinic/Center | 1366 Victory Blvd, Staten Island, NY 10301-3907 | 2006-06-15 |
| 1447227509 | Samala Rama Swamy | Specialist | 1366 Victory Blvd, Suite B, Staten Island, NY 10301-3907 | 2006-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417586397 | Maria Duncan | Registered Nurse | Nurse Family Partnership, 358 St. Marks Place, 5th Floor, Staten Island, NY 10301 | 2020-04-03 |
| 1659835569 | Ipark Podiatry P.C. | Podiatrist | 970 Bard Avenue, Staten Island, NY 10301 | 2019-01-24 |
| 1386149789 | Dana Gioia | Specialist | 215 Hart Blvd Apt 5a, Staten Island, NY 10301 | 2018-03-27 |
| 1710404850 | Physical Therapy Unlimited | Preferred Provider Organization | 684 Ocean Terrace, Staten Island, NY 10301 | 2017-08-29 |
| 1356885438 | Jessica Glassman | Social Worker | 10 Dobbs Pl, Staten Island, NY 10301 | 2016-12-08 |
| 1679016372 | Amelia Rella | Speech-Language Pathologist | 60 Foote Ave, Staten Island, NY 10301 | 2016-11-29 |
| 1457714958 | Philip Kaplan | Dentist | 155 Bay Street, Unit C3, Staten Island, NY 10301 | 2016-04-01 |
| 1104284777 | Marie G Joseph | Social Worker | 2381 Hyland Blvd, Staten Island, NY 10301 | 2016-02-10 |
| 1700262565 | Courtney Pryor | Speech-Language Pathologist | 57 Westbury Avenue, Staten Island, NY 10301 | 2015-08-04 |
| 1710377999 | Jessica Maldarelli | Speech-Language Pathologist | 91 Henderson Avenue, Staten Island, NY 10301 | 2015-01-27 |
| Find all providers in zip 10301 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629146279 | Goodkidneys Medical, P.C. | Internal Medicine | 1467 Arden Ave, Staten Island, NY 10312-5407 | 2006-12-01 |
| 1225099856 | Namala Luke Manohar | Internal Medicine | 11- Ralph Place, Staten Island, NY 10304 | 2006-03-31 |
| 1912351461 | Verrazano Medical Care, P.C. | Internal Medicine | 1487 Richmond Rd, Staten Island, NY 10304-2311 | 2016-04-21 |
| 1992144646 | Solomon Dalezman | Internal Medicine | 470 Seaview Ave, Staten Island, NY 10305 | 2013-06-17 |
| 1568695765 | Kidney and Hypertension Medicine, P.C. | Internal Medicine | 4143 Richmond Ave, Staten Island, NY 10312-5637 | 2009-09-03 |
| 1972757672 | John M Pepe Md Pllc | Internal Medicine | 1550 Richmond Ave, Staten Island, NY 10314-1578 | 2008-11-07 |
| 1023202447 | Edward Mack Epstein | Internal Medicine | 470 Seaview Ave, Staten Island, NY 10305-3401 | 2007-08-29 |
| 1568554806 | Matthew Palombini | Internal Medicine | 1550 Richmond Ave, Suite 205, Staten Island, NY 10314 | 2006-09-28 |
| 1013009349 | John M Pepe | Internal Medicine | 1550 Richmond Ave, Suite 205, Staten Island, NY 10314 | 2006-09-28 |
| 1861584112 | Militza K. Kiroycheva | Internal Medicine | 1550 Richmond Ave, Suite 205, Staten Island, NY 10314 | 2006-09-28 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10301 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.