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

Individual provider Physician Assistant · NPI 1598112047

Matthew Khazzam, PA-C is a Physician Assistant in Valley Stream, New York. Qualified in 2021, 5 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

900 Franklin Ave
Valley Stream, NY 11580-2145
Phone: (516) 256-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 96 Union Ave, Lynbrook, NY 11563-3333 — (516) 314-2139

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 026980-01 (NY)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1598112047
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 14, 2016
Last updated in NPPESNovember 20, 2021
Certification dateNovember 20, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Valley Stream