Active NPI
Short Hills Medical Associates LLC
- Family Medicine Physician
- Millburn, NJ
National Provider Identifier
1063154342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SHORT HILLS MEDICAL ASSOCIATES LLC
- Practice address
- 159 Millburn Ave
Millburn, NJ 07041-1849 - Phone
- (908) 989-0803
- Fax
- (715) 200-5208
- NPI assigned
- Apr 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sabeen Khan, MD
- Title
- Owner
- Phone
- (908) 989-0803
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
159 Millburn Ave
Millburn, NJ 07041-1849
Mailing address
21 Kennedy LN
Morristown, NJ 07960-6886
Phone (908) 989-0803
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Roselle Park, NJ
- NPI 1588979181
-
- Family Nurse Practitioner
- Union, NJ
- NPI 1174855902
-
- Psychiatric/Mental Health Nurse Practitioner
- Wayne, NJ
- NPI 1558620393
-
- Psychiatry Physician
- Elizabeth, NJ
- NPI 1245314509
-
- Psychiatry Physician
- Elizabeth, NJ
- NPI 1174595037
-
- Psychiatric/Mental Health Nurse Practitioner
- Cedar Knolls, NJ
- NPI 1790375400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695772800000",
"number": "1063154342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 KENNEDY LN",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079606886",
"telephone_number": "908-989-0803",
"fax_number": "715-200-5208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 MILLBURN AVE",
"city": "MILLBURN",
"state": "NJ",
"postal_code": "070411849",
"telephone_number": "908-989-0803",
"fax_number": "715-200-5208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHORT HILLS MEDICAL ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-08",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "SABEEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "908-989-0803",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Millburn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.