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DR. MOAZZAM KHAN MD
NPI 1710680756
Family Medicine in East Setauket, NY

Active since March 27, 2023
179 N BELLE MEAD RD STE 3, EAST SETAUKET, NY 11733(631) 751-3322 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Moazzam Khan Md NPPES

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

DR. MOAZZAM KHAN MD (NPI 1710680756) is an individual family medicine provider in East Setauket, New York, licensed in New York (345352) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1710680756
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MOAZZAM KHANCredential: MD
Location Address179 N BELLE MEAD RD STE 3East Setauket, NY 11733-3528
Mailing Address15 Willowood LnCoram, NY 11727-1130 · (631) 846-8900
Phone(631) 751-3322
Sole ProprietorNo
Enumeration DateMarch 27, 2023
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
✔ NPI 1710680756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 345352
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
179 N BELLE MEAD RD STE 3, East Setauket, NY 11733
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Other Providers at the Same Location NPPES 2

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

HAFSAH SAADIYAH UBAID DO
Family Medicine
179 N BELLE MEAD RD STE 3
EAST SETAUKET, NY 11733
Suffolk County (631) 751-3322
CYRIL JOY DO
Family Medicine
179 N BELLE MEAD RD STE 3
EAST SETAUKET, NY 11733
Suffolk County (631) 751-3322

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 Moazzam Khan's NPI number?

The NPI number for Moazzam Khan is 1710680756. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Moazzam Khan located?

Moazzam Khan practices at 179 N Belle Mead Rd Ste 3, East Setauket, NY 11733. The listed phone number is (631) 751-3322.

What is Moazzam Khan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Moazzam Khan was last updated on July 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.