Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACK NICOLAS KHAWAJA
Active Sole ProprietorMR. JACK NICOLAS KHAWAJA is a Durable Medical Equipment & Medical Supplies healthcare provider located in ASTORIA, New York. NPI 1134936545 is currently active in the NPPES registry. Verify at CMS.
Durable Medical Equipment & Medical Supplies · ASTORIA, NY
Registration Details
- NPI Number
- 1134936545
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 18, 2024 (1.7023918863836 yrs)
- Last Updated
- Dec 18, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
2842 47TH STASTORIA, NY, 111031208Browse NY providers · Browse ZIP 11103
- Phone
- 3474795166
- Primary Specialty
-
Durable Medical Equipment & Medical Supplies
332B00000X
Other Durable Medical Equipment & Medical Supplies Providers in ASTORIA, NY
| Name | Credential | NPI |
|---|---|---|
| MR. EMMANOUIL LALLAS | — | 1700196037 |
| MR. MARK SEBESTA SR. | — | 1356778310 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.