FARZANA KHAN MD
NPI 1114622289
Student in an Organized Health Care Education/Training Program in New York, NY

Active since March 30, 2023PECOS Enrolled
3959 BROADWAY, NEW YORK, NY 10032(212) 305-8504 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Farzana Khan Md NPPES

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

FARZANA KHAN MD (NPI 1114622289) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1114622289
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameFARZANA KHANCredential: MD
Location Address3959 BROADWAYNew York, NY 10032-1559
Mailing Address3959 BroadwayNew York, NY 10032-1559 · (212) 305-8504
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 30, 2023
NPPES CertifiedMarch 30, 2023
NPI 1114622289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3959 BROADWAY, New York, NY 10032

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Farzana Khan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537637343
PECOS Enrollment IDI20260508003301
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Pediatric Cardiology)
3959 BROADWAY
NEW YORK, NY 10032
Pediatrics (Pediatric Cardiology)
3959 BROADWAY
NEW YORK, NY 10032
Pediatrics (Pediatric Emergency Medicine)
3959 BROADWAY
NEW YORK, NY 10032
Pediatrics (Pediatric Critical Care Medicine)
3959 BROADWAY
NEW YORK, NY 10032
Pediatrics (Pediatric Nephrology)
3959 BROADWAY, COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS
NEW YORK, NY 10032
Pediatrics
3959 BROADWAY, CHN 517
NEW YORK, NY 10032
Pediatrics (Pediatric Critical Care Medicine)
3959 BROADWAY, COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS
NEW YORK, NY 10032
Pediatrics (Pediatric Cardiology)
3959 BROADWAY, COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS
NEW YORK, NY 10032

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114622289, enumerated as an "individual" on March 30, 2023.

The provider is located at 3959 BROADWAY NEW YORK, NY 10032 and the phone number is (212) 305-8504.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.