SOUTH ASIAN IPA, LLC (NPI# 1164957783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164957783 |
| Entity Type | Organization |
| Organization Name | SOUTH ASIAN IPA, LLC |
| Practice Address |
530 Conduit Blvd Suite - C Brooklyn NY 11208-3245 |
| Practice Telephone | 7182775500 |
| Practice Fax Number | 7182772400 |
| Mailing Telephone | 7182775500 |
| Mailing Fax Number | 7182772400 |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2017-04-21 |
| Authorized Official Name | DR. ZABER AHMAD KHAN (PRESIDENT) |
| Authorized Official Telephone | 6467527058 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
234133 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02807454 | 05 |
| Street Address |
530 CONDUIT BLVD SUITE - C |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11208-3245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437391810 | Shahanaz Begum | Family Medicine | 530 Conduit Blvd, #1w, Brooklyn, NY 11208-3245 | 2009-03-31 |
| 1760007496 | Mohammed Momin Ullah | Nurse Practitioner | 530 Conduit Blvd, Brooklyn, NY 11208-3245 | 2020-06-09 |
| 1619308251 | Liberty Medical Office, P.C. | Clinic/Center | 530 Conduit Blvd, Suite-c, Brooklyn, NY 11208-3245 | 2013-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316595564 | Danielle Sharaby-glasser | Nurse Practitioner | Franklin K Lane School Based Health Center, 999 Jamaica Avenue, Brooklyn, NY 11208 | 2019-08-30 |
| 1205320769 | Lucrece Bonostro | Nurse Practitioner | 1804 Liberty Avenue, Brooklyn, NY 11208 | 2018-06-19 |
| 1952824682 | Jeniffer Zephyrine | Psychologist | 318 Milford St, Brooklyn, NY 11208 | 2017-07-25 |
| 1518408822 | Lavern Souvenir | Licensed Practical Nurse | 502 Cleveland, Brooklyn, NY 11208 | 2017-03-20 |
| 1376083378 | Department of Education | General Acute Care Hospital | 923 Elton Street, 2nd Floor, Brooklyn, NY 11208 | 2017-02-24 |
| 1477098606 | Robert Terrelonge | Registered Nurse | 791 Drew St, Brooklyn, NY 11208 | 2016-12-26 |
| 1881140606 | Mana Traore | Social Worker | 761 Essex Street, Brooklyn, NY 11208 | 2016-08-31 |
| 1699121079 | Sarah Bipath | Speech-Language Pathologist | 2944 Pitkin Ave, Brooklyn, NY 11208 | 2016-05-04 |
| 1184087074 | Instacareems | Special Hospital | 688 Crescent Street, Brooklyn, NY 11208 | 2016-03-30 |
| 1073988549 | Mutiat Yusuf | Licensed Practical Nurse | 675 Lincoln Avenue Apt 11m, Brooklyn, NY 11208 | 2015-12-09 |
| Find all providers in zip 11208 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821601352 | Xian Medical Care PC | Clinic/Center | 2010 Bay Ridge Pkwy, Brooklyn, NY 11204-5925 | 2020-08-25 |
| 1356993976 | Mingzhu Medical Office, P.C. | Clinic/Center | 5615 7th Ave Fl 2, Brooklyn, NY 11220-3509 | 2019-07-13 |
| 1689197451 | Citycare Medical P.C. | Clinic/Center | 4119 18th Ave, Brooklyn, NY 11218-5709 | 2017-07-24 |
| 1316472194 | Aldo Alleva, Md Pllc | Clinic/Center | 36 Skillman Ave, Brooklyn, NY 11211-2204 | 2017-04-28 |
| 1275073207 | K Medical Office PC | Clinic/Center | 7315 5th Ave, Brooklyn, NY 11209-7364 | 2017-02-23 |
| 1760921712 | Larimar Family Np Services, Pllc | Clinic/Center | 173 Bay 13th St, Brooklyn, NY 11214-5805 | 2017-02-22 |
| 1700337524 | Yunique Desire-brisard Fnp,lnc | Clinic/Center | 1339 E 104th St, Brooklyn, NY 11236-4507 | 2016-10-17 |
| 1821461898 | John Hon Do Pllc | Clinic/Center | 831 56th St Bsmt, Brooklyn, NY 11220-3695 | 2015-11-12 |
| 1437528171 | Flize Annevo Bryan | Clinic/Center | 721 E 22nd St, Brooklyn, NY 11210-1103 | 2015-09-23 |
| 1992188981 | M&h Family Healthcare, Pllc | Clinic/Center | 562 E 93rd St, Brooklyn, NY 11236-1102 | 2015-07-08 |
| Find all providers in BROOKLYN | ||||
Please comment or provide details below to improve the information on SOUTH ASIAN IPA, LLC.
| 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.