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

Rehan E Khan, DNP-BC

Individual provider Registered Nurse · NPI 1104130947

Rehan E Khan, DNP-BC is a Nurse Practitioner in New York, New York. Qualified in 2018, 8 years ago. Practices with Nitin Mariwalla MD PLLC, a 12-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2010
Specialties on file
4

Practice location Address checks out

609 W 114th St Apt 73
New York, NY 10025
Phone: (917) 597-3533
Fax: (212) 665-6895
Show map & directions

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

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 343149 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 632777 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 343149 (NY)
Sports Medicine (Neuromusculoskeletal Medicine) Physician Taxonomy 204C00000X · Licence 343149 (NY)

Record details

NPI number1104130947
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP-BC
Sole proprietorYes
NPI enumeratedAugust 4, 2010
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Nitin Mariwalla Md Pllc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients44
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Nitin Mariwalla MD PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in New York