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

Stephanie M Khan

Individual provider Inpatient Obstetric Registered Nurse · NPI 1366961526

Stephanie M Khan is a Nurse Practitioner in Forest Hills, New York. Qualified in 2017, 9 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2017
Specialties on file
4

Practice location Address checks out

11078 Queens Blvd
Forest Hills, NY 11375-6345
Phone: (718) 309-2827
Show map & directions

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

Additional practice locations (1)

  • 560 1st Ave, New York, NY 10016-6402 — (212) 263-7000

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 341863 (NY)
Inpatient Obstetric Registered Nurse Taxonomy 163WX0003X · Licence 660206 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 341863 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F341863 (NY)

Record details

NPI number1366961526
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 19, 2017
Last updated in NPPESJanuary 24, 2025
Certification dateJanuary 24, 2025
Mailing address9532 75th St, Ozone Park, NY 11416-1006

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

Other providers in Forest Hills