A KHAN PHYSICIAN PC
NPI 1710491592
Clinic/Center - Primary Care in Oceanside, NY
About A Khan Physician Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
A KHAN PHYSICIAN PC (NPI 1710491592) is a healthcare organization registered as a primary care in Oceanside, New York and active in the NPI registry since December 2017. The organization maintains a secondary practice location in Oceanside and lists Diane Valva, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
A Khan Physician Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to A Khan Physician PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 A Khan Physician PC's NPI number?
The NPI number for A Khan Physician PC is 1710491592. It was assigned to this organization in the NPPES registry on December 1, 2017.
Where is A Khan Physician PC located?
A Khan Physician PC is located at 187 Dot Ct E, Oceanside, NY 11572. The listed phone number is (516) 404-1660.
What is A Khan Physician PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is A Khan Physician PC enrolled in Medicare?
Yes. A Khan Physician PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through A Khan Physician PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to A Khan Physician PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for A Khan Physician PC was last updated on March 17, 2018. 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.
# A Khan Physician Pc · NPI 1710491592
Primary Care organization in Oceanside, New York. Organization record, active in the CMS NPPES registry since December 1, 2017.
## Identity
- **NPI:** 1710491592 (Entity type: Organization)
- **Enumerated:** December 1, 2017
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Diane Valva, OFFICE MANAGER
## Practice location
- **Address:** 187 DOT CT E, Oceanside, NY 11572-5920
- **Phone:** (516) 404-1660 · **Fax:** (516) 404-1660
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1710491592) · Data from the CMS NPPES public registry.