KHAMATTIE MAHASE
NPI 1093229403
Licensed Practical Nurse in Central Islip, NY

Q: What is Khamattie Mahase's NPI number?

The NPI number for Khamattie Mahase is 1093229403. It was assigned to this individual provider in the NPPES registry on November 21, 2017.

Q: What is Khamattie Mahase's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Khamattie Mahase was last updated on November 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 21, 2017

149 ACORN AVE, CENTRAL ISLIP, NY 11722(718) 344-8037 Get Directions Write a Review

NPPES record last updated: November 21, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Khamattie Mahase NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHAMATTIE MAHASE (NPI 1093229403) is an individual licensed practical nurse in Central Islip, New York, licensed in New York (9713354) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1093229403

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameKHAMATTIE MAHASE

Location Address149 ACORN AVECentral Islip, NY 11722-3518

Mailing Address149 Acorn AveCentral Islip, NY 11722-3518

Phone(718) 344-8037

Sole ProprietorNo

Enumeration DateNovember 21, 2017

✔ NPI 1093229403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 9713354

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

149 ACORN AVE, Central Islip, NY 11722

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khamattie Mahase's NPI number?

The NPI number for Khamattie Mahase is 1093229403. It was assigned to this individual provider in the NPPES registry on November 21, 2017.

Where is Khamattie Mahase located?

Khamattie Mahase practices at 149 Acorn Ave, Central Islip, NY 11722. The listed phone number is (718) 344-8037.

What is Khamattie Mahase's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Khamattie Mahase was last updated on November 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.