DR. JENNIFER SUSAN KHACHADURIAN (NPI# 1306282330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306282330 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER SUSAN KHACHADURIAN |
| Credential | D.O. |
| Practice Address |
306 Hempstead Ave Malverne NY 11565-1201 |
| Practice Telephone | 5166780076 |
| Practice Fax Number | 5167630981 |
| Mailing Telephone | 5166780076 |
| Mailing Fax Number | 5167630981 |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2014-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 270010 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
306 HEMPSTEAD AVE |
| City | MALVERNE |
| State | NY |
| Zip Code | 11565-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447291596 | Mary Ann Glick | Nurse Practitioner | 306 Hempstead Ave, Malverne, NY 11565-1201 | 2006-06-09 |
| 1003086323 | Robert G Curran Md Pllc | Internal Medicine | 306 Hempstead Ave, Malverne, NY 11565-1201 | 2008-03-03 |
| 1245448547 | Aricha Harker-mayo | Dietitian, Registered | 306 Hempstead Ave, Suite 311, Malverne, NY 11565-1201 | 2007-05-18 |
| 1922166909 | Mary Elizabeth Conley | Nurse Practitioner | 306 Hempstead Ave, Malverne, NY 11565-1201 | 2006-12-04 |
| 1609804400 | Gregory Zito | Specialist | 306 Hempstead Ave, Malverne, NY 11565-1201 | 2006-06-29 |
| 1700820818 | Robert G Curran | Internal Medicine | 306 Hempstead Ave, Malverne, NY 11565-1201 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952684482 | Nancy Beattty | Speech-Language Pathologist | 55 Linder Place, Malverne, NY 11565 | 2011-09-21 |
| 1811150253 | Dawn Victoria Powell | Chiropractor | 357 Ocean Ave, Malverne, NY 11565 | 2008-07-07 |
| 1053533448 | Malverne Chiropractic Office, Pllc | Chiropractor | 4 Weber Avenue, Malverne, NY 11565 | 2007-05-03 |
| 1134263353 | Claire Conway | Speech-Language Pathologist | 55 Lindner Pl, Malverne, NY 11565 | 2007-02-19 |
| 1013396662 | Charles Sealy | Driver | 59 School Street, Malverne, NY 11565 | 2015-05-28 |
| 1427143049 | John Hassett | Internal Medicine | 230 Hilton Avenue, Suite 205, Hempstead, NY 11565 | 2006-10-03 |
| 1376515684 | John P Russo | Chiropractor | 10 Broadway, Malverne, NY 11565 | 2006-02-02 |
| 1467862243 | Jenniferc Leyendecker | Early Intervention Provider Agency | 67 Adair Ct, Malverne, NY 11565-1006 | 2014-05-02 |
| 1164819892 | Tonino Dorce Dorsainvil | Occupational Therapist | 41 Dolores Pl, Malverne, NY 11565-1012 | 2015-04-21 |
| 1992052252 | Tara Marie Baker | Behavioral Analyst | 62 Doncaster Rd, Malverne, NY 11565-1015 | 2012-08-06 |
| Find all providers in zip 11565 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154489284 | George M Blatti | Family Medicine | 363a Hempstead Ave, Malverne, NY 11565-1256 | 2006-12-04 |
| 1891942694 | Darla Lynch Md Pllc | Family Medicine | 4 Weber Ave, Malverne, NY 11565-1742 | 2008-08-22 |
| 1932377413 | The Medex Medical PC | Family Medicine | 245 Hempstead Ave, Malverne, NY 11565-2034 | 2008-02-18 |
| 1679767180 | Darla Elizabeth Lynch | Family Medicine | 4 Weber Ave, Malverne, NY 11565-1742 | 2007-08-29 |
| 1407077522 | Malverne Medical Healthcare, P.C. | Family Medicine | 4 Weber Ave, Malverne, NY 11565-1742 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295558 | Mamoon Malik | Family Medicine | 90 Menands Rd, Albany, NY 12204-1400 | 2020-11-08 |
| 1336749571 | Chowdhury Medical PC | Family Medicine | 155 Alkier St, Brentwood, NY 11717-5129 | 2020-10-27 |
| 1356940084 | Rebecca Jean Smouse | Family Medicine | 1107 Prendergast Ave, Jamestown, NY 14701-3315 | 2020-10-23 |
| 1336748136 | Rapha House Calls | Family Medicine | 2 Fernglade Ct, Chester, NY 10918-2637 | 2020-10-22 |
| 1174122980 | Richmond Health Partners Ipa LLC | Family Medicine | 1161 Victory Blvd, Staten Island, NY 10301-3621 | 2020-10-22 |
| 1730787128 | Michael C Secallus | Family Medicine | 66 Kirkwood Gdns, Kirkwood, NY 13795-1623 | 2020-10-16 |
| 1861099053 | Julia Gross Family Health Nurse Practitioner, Pllc | Family Medicine | 950 Route 146 Ste 100, Clifton Park, NY 12065-3667 | 2020-10-01 |
| 1013523190 | Steinway Hope Medical LLC | Family Medicine | 8829 54th Ave Fl 2, Elmhurst, NY 11373-4543 | 2020-09-23 |
| 1538774500 | Jenny Brandt | Family Medicine | 3048 Sunset Ln # 2, Schenectady, NY 12303-5528 | 2020-09-15 |
| 1992319016 | Sarah Glaser | Family Medicine | 30 W 24th St, New York, NY 10010-3207 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
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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.