Look up the most recent NPI and PECOS records

Johnathan Alexander Khusid

Urology

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as JOHNATHAN KHUSID.

Based on the most recent information from CMS, provider Johnathan Alexander Khusid is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 7:46 AM.

Profile Details

Provider ID
1124413364
Provider Type
Individual
Full Name
Khusid, Johnathan Alexander
Title
Mr.
Credential
M.D. (MAY 2015)

Gender
Male
Sole Proprietor
No
Enumeration Date
4/4/2015
Last Updated
3/21/2022

Contact Information

Practice Location

1 Gustave L Levy Pl, New York, NY 10029

(212) 241-4812

Unlisted Fax

Mailing Location

1 Gustave L Levy Pl, New York, NY 10029-6504

(212) 241-4812

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208800000X Primary	Description Urology Allopathic & Osteopathic Physicians	License 303651-01 New York

Johnathan Alexander Khusid

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Mount Sinai School Of Medicine

De Almeida Luz, Murilo

Faculty Practice Associates Mount Sinai School Of Medicine

Zaytoun, Osama Motawa

Djordjevic, Miroslav L

Ahlawat, Rajesh Kumar

Icahn School Of Medicine At Mount Sinai

Nymhc Fpp Urology

David B Samadi Md Pc

Sljivich, Michaela