Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fahtima Khwaja

Individual provider Physician Assistant · NPI 1487418026

Fahtima Khwaja is a Physician Assistant in West Islip, New York. Qualified in 2023, 3 years ago. Practices with Good Samaritan Hospital Medical Center, a 147-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2024

Practice location Address checks out

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone: (631) 376-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1487418026
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 13, 2024
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 12, 2024
Mailing address11 Olde Hamlet Dr, Jericho, NY 11753-1133

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Good Samaritan Hospital Medical Center — 147 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in West Islip