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MS. KHADIJAH MUWWAKKIL
NPI 1417429762
Student in an Organized Health Care Education/Training Program in Queens Village, NY

Active since December 27, 2018
20905 JAMAICA AVE, QUEENS VILLAGE, NY 11428(347) 542-5813(718) 445-0951 Get Directions Write a Review

NPPES record last updated: December 27, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Khadijah Muwwakkil NPPES

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

MS. KHADIJAH MUWWAKKIL (NPI 1417429762) is an individual student in an organized health care education/training program in Queens Village, New York and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1417429762
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. KHADIJAH MUWWAKKIL
Location Address20905 JAMAICA AVEQueens Village, NY 11428-1548
Mailing Address14202 20th Ave Fl 3Flushing, NY 11351-3000 · (347) 542-5658
Phone(347) 542-5813
Fax(718) 445-0951
Sole ProprietorNo
Enumeration DateDecember 27, 2018
✔ NPI 1417429762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
20905 JAMAICA AVE, Queens Village, NY 11428
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Other Identifiers 1

Medicaid3299096NY

Other Providers at the Same Location NPPES 3

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

CHIOMA ADELAKUM
Student in an Organized Health Care Education/Training Program
20905 JAMAICA AVE
QUEENS VILLAGE, NY 11428
Queens County (347) 886-7321
FAUSAT SANNI
Student in an Organized Health Care Education/Training Program
20905 JAMAICA AVE
QUEENS VILLAGE, NY 11428
Queens County (718) 297-2264
ROSEMARY OBAZE-ANYENE
Student in an Organized Health Care Education/Training Program
20905 JAMAICA AVE
QUEENS VILLAGE, NY 11428
Queens County (718) 297-1718

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 Khadijah Muwwakkil's NPI number?

The NPI number for Khadijah Muwwakkil is 1417429762. It was assigned to this individual provider in the NPPES registry on December 27, 2018.

Where is Khadijah Muwwakkil located?

Khadijah Muwwakkil practices at 20905 Jamaica Ave, Queens Village, NY 11428. The listed phone number is (347) 542-5813.

What is Khadijah Muwwakkil's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Khadijah Muwwakkil was last updated on December 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.