TAREK R KHATER MEDICAL SERVICES – NPI #1679933998
Clinic/Center

TAREK R KHATER MEDICAL SERVICES is an AHC clinic located in ASTORIA, NY. NPPES has assigned the NPI number 1679933998 to TAREK R KHATER MEDICAL SERVICES on February 29, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “TAREK R KHATER MEDICAL SERVICES” is a dba name, the actual legal business name for this organization is TAREK R KHATER. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QH0100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Health Service

The NPI profile was previously updated about 6 years ago on Aug 08, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TAREK R KHATER MEDICAL SERVICES below.

NPI Profile for
TAREK R KHATER

NPI Number
1679933998
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TAREK R KHATER
Doing Business As (dba): TAREK R KHATER MEDICAL SERVICES
Primary location
2814 31ST ST
SUITE 501
ASTORIA, NY 11102
Phone: (917) 960-0821 Fax: (713) 575-3865
Mailing address
PO BOX 672
NEW YORK, NY 10028-0044
Phone: (917) 960-0821 Fax: (646) 952-2004
Organization Subpart
No
Authorized Official
TAREK KHATER
OWENER
Phone: (917) 960-0821
Updated
Certification Date
Aug 08, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for TAREK R KHATER MEDICAL SERVICES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAMA (ME#)91504840501
OTHERARDMS175911
OTHERCCI00093517
OTHERDBANY3517284
OTHERMEDICAL LICENSE NYC MRCNY128919
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QH0100X
- Clinic/Center / Health Service (Primary)
261QR0208X
- Clinic/Center / Radiology, Mobile
NY 300724

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.