MAZEN T KHALIFEH


Address: 400 E Main St, Northern Westchester Hospital, Mount Kisco, NY 10549-3417
Phone: 9146661862

MAZEN T KHALIFEH (NPI# 1013901370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013901370
Entity Type Individual
Full Name MAZEN T KHALIFEH
Credential MD
Practice Address 400 E Main St
Northern Westchester Hospital
Mount Kisco
NY 10549-3417
Practice Telephone 9146661862
Practice Fax Number 9146661444
Mailing Telephone 9146661862
Mailing Fax Number 9146661444
Enumeration Date 2005-09-01
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
174872 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CDPHP PROVIDER NUMBER 100986380-T816 01
AETNA PPO 4323190 01
AETNA-HMO 0051108 01
GHI-PPO 1999886 01
MVP HEALTHPLAN 414789 01
HEALTHNET 5C5441 01
NY 01273578 05
UNITED HEALTHCARE PIN # 1291474 01
OXFORD WS1315 01
GHI-HMO 000000013799 01
EMPIRE BC-BS 89F251 01
FIRST HEALTH-COVENTRY 1305499 01

Office Location

Street Address 400 E MAIN ST
NORTHERN WESTCHESTER HOSPITAL
City MOUNT KISCO
State NY
Zip Code 10549-3417

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427051309 Steven M Drexler Anesthesiology 400 E Main St, Northern Westchester Hospital, Mount Kisco, NY 10549-3417 2005-05-24
1902419377 Max Abraham Bader Anesthesiology 400 E Main St, Mount Kisco, NY 10549-3477 2020-08-26
1194365304 Daniel Payne Nurse Anesthetist, Certified Registered 400 E Main St, Mount Kisco, NY 10549-3417 2020-01-15
1407407463 Linda Caffrey Nurse Practitioner 400 E Main St, Mount Kisco, NY 10549-3417 2019-09-21
1679133102 Joann C Stafford Physical Therapist 400 E Main St, Mount Kisco, NY 10549-3417 2019-06-17
1568928885 Vincent Patrick Vitale Physician Assistant 400 E Main St, Mount Kisco, NY 10549-3417 2019-02-11
1588120901 Michael James Teta Physician Assistant 400 E Main St, Mount Kisco, NY 10549-3417 2019-02-11
1841789567 Sarah Elaine Clark Registered Nurse 400 E Main St, Mount Kisco, NY 10549 2018-05-08
1124568530 Daniil Pogosov Pharmacist 400 E Main St, Mount Kisco, NY 10549-3417 2017-03-03
1962958124 Caryn Huneke Dietitian, Registered 400 E Main St, Nwh - Attn: Food & Nutrition Department, Mount Kisco, NY 10549-3417 2016-08-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346736618 The Amerson Center, LLC Day Training, Developmentally Disabled Services 13 Timber Rdg, Mount Kisco, NY 10549 2018-07-10
1518496918 Richard Mark Schnabel Counselor 116 Radio Circle, Mt Kisco, NY 10549 2017-06-08
1568997088 Jodi Baretz Social Worker 4 Smith Ave, The Center for Health and Healing, Mt Kisco, NY 10549 2017-04-21
1598205205 Tracey A Blum Nurse Practitioner 110 S. Bedford Road, Caremount Medical PC, Mt Kisco, NY 10549 2017-02-28
1083153936 Marissa L Schwartz Dentist 359 E Main St Ste 2f, Mount Kisco, NY 10549 2017-02-13
1700249299 Patricia Harte Specialist 15 Caren Court, Mount Kisco, NY 10549 2016-04-01
1154663458 Nicola Ann Quatrano Dermatology 185 Kisco Ave Ste 300, Mount Kisco, NY 10549 2013-03-25
1053671503 Harvey Joel Rosenberg Internal Medicine Caremount Medical, P.C., 90 South Bedford Road, Mount Kisco, NY 10549 2012-05-17
1427320597 Raymond Koloski Pediatrics 200 Woodcrest Lane, Apt 226, Mt. Kisco, NY 10549 2012-02-03
1114232733 Bedford Central School District Local Education Agency (LEA) 47 West Hyatt Avenue, Mount Kisco, NY 10549 2010-08-09
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Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891038816 Michelle Beth Levinson Pediatrics 400 E Main St, Mount Kisco, NY 10549-3417 2013-03-27
1578558003 Francene M Gallousis Pediatrics 400 E Main St, Northern Westchester Hospital, Mount Kisco, NY 10549-3417 2005-09-12
1699769760 John R Stafford Jr. Pediatrics 400 E Main St, Northern Westchester Hospital 3rd Floor, Mount Kisco, NY 10549-3417 2005-09-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447893193 Karen Lynn Marsh Pediatrics 64 Willow St, Guilderland, NY 12084-9778 2019-10-25
1497227094 Alison Kent Pediatrics Dept of Pediatrics, University of Rochester, 601 Elmwood Avenue, Rochester, NY 14642 2018-12-20
1639697329 Lily Michelle Barres Pediatrics 601 Elmwood Ave Box 651, Rochester, NY 14642-0001 2017-09-01
1093238339 Maria Pygerou-kofinas Pediatrics 506 Sixth Street Kp4, Brooklyn, NY 11215 2017-07-19
1063893089 Namirembe Joan Kazibwe Pediatrics 539, 85th Street, Apt 3f, Brooklyn, NY 11209 2015-06-16
1114339322 Michelle Quan Pediatrics 388 Bridge St, Apt 11b, Brooklyn, NY 11201-5210 2014-05-21
1215347026 Babina K Nayak Pediatrics 435 Avalon Gardens Dr Apt 435, Nanuet, NY 10954-7433 2014-05-01
1952728883 Thomas Hays Pediatrics 41 Hausman St, Brooklyn, NY 11222 2014-03-28
1437597614 Umesh Paudel Pediatrics 100 Woods Rd Pmb 605, Valhalla, NY 10595 2013-06-10
1144668484 Irina Kaminyar Pediatrics 24023 68th Ave, Douglaston, NY 11362-1928 2013-06-09
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Competitor

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City MOUNT KISCO
Zip Code 10549

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Dataset Information

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.

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