TAREK R KHATER (NPI# 1679933998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679933998 |
| Entity Type | Organization |
| Organization Name | TAREK R KHATER |
| Other Organization Name | TAREK R KHATER MEDICAL SERVICES |
| Practice Address |
2814 31st St Suite 501 Astoria NY 11102 |
| Mailing Address |
Po Box 672 New York NY 10028-0044 |
| Practice Telephone | 9179600821 |
| Practice Fax Number | 7135753865 |
| Mailing Telephone | 9179600821 |
| Mailing Fax Number | 6469522004 |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2020-08-08 |
| Authorized Official Name | TAREK R KHATER (OWENER) |
| Authorized Official Telephone | 9179600821 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
300724 | NY | Ambulatory Health Care Facilities |
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CCI | 00093517 | 01 | |
| NY | MEDICAL LICENSE NYC MRC | 128919 | 01 |
| NY | DBA | 3517284 | 01 |
| AMA (ME#) | 91504840501 | 01 | |
| ARDMS | 175911 | 01 |
| Other Name | Type Code |
|---|---|
| KHATER DIAGNOSTIC DMS | Doing Business As Name - Organization |
| Tarek R Khater Medical Services | Doing Business As Name - Organization |
| Street Address |
2814 31ST ST SUITE 501 |
| City | ASTORIA |
| State | NY |
| Zip Code | 11102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497301444 | Stephanie Angela Van Rossem | Nurse Practitioner | 28-18 Astoria Blvd, Astoria, Ny 11102, Astoria, NY 11102 | 2019-08-15 |
| 1831754118 | Ahmed Mohamed Sayed Zedan | Pharmacist | 3014 14th St, Astoria, NY 11102 | 2019-05-02 |
| 1841758927 | Prohealth Care Associates, LLP | Occupational Therapist | 27-17 Cresecent Street, Suite 1, Astoria, NY 11102 | 2019-03-07 |
| 1598231292 | Mayuri Ardak | Student in an Organized Health Care Education/Training Program | 25-40 30th Road Suite A1, Astoria, NY 11102 | 2018-10-19 |
| 1134626740 | Claudia Ahumada, Lcsw, Pllc | Social Worker | 2556 31st St Ste 302, Astoria, NY 11102 | 2018-04-10 |
| 1255840039 | Ashley Taylor Curaba | Physician Assistant | 25-10 30th Rd, Queens, NY 11102 | 2017-09-25 |
| 1265953517 | Kathleen Yetman | Student in an Organized Health Care Education/Training Program | 2707 8th Street, The Astoria Blue Feather Profram, Astoria, NY 11102 | 2017-06-27 |
| 1295194116 | Individualized Family Care LLC | Community/Behavioral Health | 12-22 30th Ave, Apt 4h, Astoria, NY 11102 | 2016-02-19 |
| 1700288909 | Andre Farah Dc PC | Chiropractor | 29-15 Astoria Blvd, Astoria, NY 11102 | 2014-09-18 |
| 1114326915 | Newtown Pharmacy Inc | Pharmacy | 28-04 31st Street, Astoria, NY 11102 | 2014-08-18 |
| Find all providers in zip 11102 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922432962 | Empire Womancare and Midwifery | Clinic/Center | 2515 18th St, Astoria, NY 11102-3553 | 2013-08-27 |
| 1154789535 | Pure Mind Acupuncture PC | Clinic/Center | 2818 31st St, 3rd Fl, Astoria, NY 11102-1745 | 2016-02-01 |
| 1356521298 | Prompt Care Inc | Clinic/Center | 2543 Steinway St, Astoria, NY 11103-3701 | 2007-11-08 |
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| 1386118412 | Trinidad D Agtarap Nurse Practitioner In Gerontology Pllc | Clinic/Center | 7116 34th Ave Apt 2b, Jackson Heights, NY 11372-1016 | 2019-01-11 |
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| 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.