Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Southern Tier Pediatrics Practice, P.C.

Pediatric Adolescent Medicine Physician in Jamestown, NY · enumerated 2006 · authorized official Tariq Khan, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710902200

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Registry record

Entity type Organization (Type 2)

Legal business name Southern Tier Pediatrics Practice, P.C.

Practice address 1684 Foote Avenue Ext, Jamestown, NY, 14701

Phone (716) 661-9730

Fax (716) 661-9732

Enumeration date Jul 13, 2006

Last updated in NPPES May 15, 2013

Taxonomy & classification

2080A0000X Pediatric Adolescent Medicine Physician Allopathic & Osteopathic Physicians · License 207469 (NY) Primary

Authorized official

Name Tariq Khan

Title President

Phone (716) 661-9730

Other identifiers

Identifier	Type	State	Issuer
02690682	Medicaid	NY	-
01664951	Medicaid	NY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Southern Tier Pediatrics Practice, P.C. located?

The practice location on file with NPPES is in Jamestown, NY.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-05-15. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-05-15.