Jaudat H Khan (NPI# 1457683179, PAC ID# 2567696925) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1457683179 |
| PAC ID by PECOS | 2567696925 |
| Professional Enrollment ID | I20131018000311 |
| Full Name | Jaudat H Khan |
| Organization Legal Name | STATEN ISLAND NEPHROLOGY PC |
| Address |
1366 Victory Blvd Staten Island NY 10301-3907 |
| Phone Number | 7182733400 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 8820987571 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330160 | STATEN ISLAND UNIVERSITY HOSPITAL |
| 330028 | RICHMOND UNIVERSITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1366 Victory Blvd, Staten Island, NY 10301-3907 | 7182733400 | STATEN ISLAND NEPHROLOGY PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | STATEN ISLAND NEPHROLOGY PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judith Mcloughlin | Nephrology | Staten Island Nephrology PC | 1366 Victory Blvd, Staten Island, NY 10301-3907 |
| Meilin Zhang | Nephrology | Staten Island Nephrology PC | 1366 Victory Blvd, Staten Island, NY 10301-3907 |
| Susan Grossman | Internal Medicine | Staten Island Nephrology PC | 1366 Victory Blvd, Staten Island, NY 10301-3907 |
| Street Address |
1366 VICTORY BLVD |
| City | STATEN ISLAND |
| State | NY |
| Zip | 10301-3907 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judith Mcloughlin | Nephrology | Staten Island Nephrology PC | 1366 Victory Blvd, Staten Island, NY 10301-3907 |
| Meilin Zhang | Nephrology | Staten Island Nephrology PC | 1366 Victory Blvd, Staten Island, NY 10301-3907 |
| Samala R Swamy | Cardiovascular Disease (cardiology) | Samala R Swamy, Md, PC | 1366 Victory Blvd, B, Staten Island, NY 10301-3907 |
| Mark Sheynshteyn | Endocrinology | Amboy Medical Practice PC | 1366 Victory Blvd, A, Staten Island, NY 10301-3907 |
| Bhavesh D Gala | Cardiovascular Disease (cardiology) | Samala R Swamy, Md, PC | 1366 Victory Blvd, B, Staten Island, NY 10301-3907 |
| Susan Grossman | Internal Medicine | Staten Island Nephrology PC | 1366 Victory Blvd, Staten Island, NY 10301-3907 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia Ann Thompson | Clinical Social Worker | 120 Stuyvesant Pl, Suite 4, Staten Island, NY 10301-1992 | |
| Joann Leather | Clinical Social Worker | Staten Island Mental Health Society, Inc. | 669 Castleton Ave, Staten Island, NY 10301-2028 |
| James Reilly | Obstetrics/gynecology | 668 Castleton Ave, Staten Island, NY 10301-2044 | |
| Ulrika Holm | Obstetrics/gynecology | 539 Castleton Ave, Staten Island, NY 10301-2060 | |
| George Antoun | Physical Therapy | 110 Henderson Ave, Suite 720, Staten Island, NY 10301-2108 | |
| Susana Lourido | Psychiatry | Amboy Medical Practice PC | 110 Henderson Ave, Staten Island, NY 10301-2108 |
| Shevi Koschitzki | Physician Assistant | Synergy Health Medical Solutions PC | 110 Henderson Ave, Staten Island, NY 10301-2108 |
| Lucas S Ralston | Psychiatry | Amboy Medical Practice PC | 110 Henderson Ave, Staten Island, NY 10301-2108 |
| Salim Hussain | Psychiatry | Amboy Medical Practice PC | 110 Henderson Ave, Staten Island, NY 10301-2108 |
| Yasmin Nunez | Physician Assistant | Synergy Health Medical Solutions PC | 110 Henderson Ave, Staten Island, NY 10301-2108 |
| Find all physicians in zip 10301 | |||
| City | STATEN ISLAND |
| Zip Code | 10301 |
| Specialty | NEPHROLOGY |
| City + Specialty | STATEN ISLAND + NEPHROLOGY |
Please comment or provide details below to improve the information on Jaudat H Khan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.