Active NPI
Mansoor A. Khan, MD
- Emergency Medicine Physician
- Wayne, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MA08206300
- Practice address
- 224 Hamburg Tpke
Wayne General Hospital
Wayne, NJ 07470-2111 - Phone
- (973) 754-2150
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | R5881 | TX | |
| Emergency Medicine Physician | 207P00000X | 25MA08206300 | NJ | Primary |
Addresses
Primary practice location
224 Hamburg Tpke
Wayne General Hospital
Wayne, NJ 07470-2111
Mailing address
3 Century Dr
Parsippany, NJ 07054-4610
Phone (800) 345-0064
Other practice location 1
Methodist Converse Emergency Center - EM
6402 Mallard Meadow
San Antonio, TX 78244
Phone (917) 656-6958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY, FL, TX, OH, TN, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- State University of New York at Stony Brook, School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14193 US-441
HCA Florida Summerfield Emergency
Summerfield, FL 34491-3476
Phone (352) 401-1167
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R5881 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current | Accepting new patients |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Stationmd California PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Services of TN, PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Services of TX, PLLC | Emergency Medicine | Current | Accepting new patients |
| Stationmd Professional Corporation | Emergency Medicine | Current | Accepting new patients |
| Morristown Emergency Medical Associates LLC | Emergency Medicine | Current | Accepting new patients |
| Rwjbh Emergency Medicine Associates, LLC | Emergency Medicine | Current | Accepting new patients |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Rwjbh Observation Associates LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medical Associates of New Jersey PA | Emergency Medicine | Past | Accepting new patients |
| Rahway Emergency Medical Associates, LLC | Emergency Medicine | Past | Accepting new patients |
| Jersey Emergency Medical Associates LLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Medical Associates of New Jersey PA | Emergency Medicine | Past | Accepting new patients |
| Somerset Emergency Medical Associates LLC | Emergency Medicine | Past | Accepting new patients |
Locations (25 of 36)
2740 Fulton Ave
Ste 220
Sacramento, CA 95821
Phone (877) 782-8637
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
14193 S US Highway 441
Summerfield, FL 34491
Phone (352) 245-4440
519 Broadway
Bayonne, NJ 07002
Phone (201) 354-1684
225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204
355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200
515 Valley St
Ste 203
Maplewood, NJ 07040
Phone 9086632929800
100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210
7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000
865 Stone St
Rahway, NJ 07065
Phone (732) 381-4000
3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
50 W Broad St
Ste 1330
Columbus, OH 43215
Phone (630) 320-6871
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500
1103 E Houston St
Cleveland, TX 77327
Phone (281) 593-8350
26271 Northwest Fwy
Cypress, TX 77429
Phone (281) 949-1500
225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Specialist
- Elizabeth, NJ
- NPI 1841557246
-
- Emergency Medicine Physician
- Freehold, NJ
- NPI 1649541087
-
- Emergency Medicine Physician
- Somerset, NJ
- NPI 1912510041
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
-
- Emergency Medicine Physician
- Maplewood, NJ
- NPI 1285015347
NY, OH, TX
-
- Emergency Medicine Physician
- Nashville, TN
- NPI 1720785884
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1245938729
-
- Emergency Medicine Physician
- Sacramento, CA
- NPI 1023831922
-
- Emergency Medicine Physician
- Manahawkin, NJ
- NPI 1790736940
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
-
- Emergency Medicine Physician
- Morristown, NJ
- NPI 1477591360
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Morristown Medical Center
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
-
dba HCA Houston Healthcare Clear Lake
- General Acute Care Hospital
- Webster, TX
- NPI 1063466035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649376000000",
"number": "1114067667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 CENTURY DR",
"city": "PARSIPPANY",
"state": "NJ",
"postal_code": "070544610",
"telephone_number": "800-345-0064",
"fax_number": "973-740-1350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 HAMBURG TPKE",
"address_2": "WAYNE GENERAL HOSPITAL",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702111",
"telephone_number": "973-754-2150"
}
],
"practiceLocations": [
{
"address_1": "Methodist Converse Emergency Center - EM",
"address_2": "6402 Mallard Meadow",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "78244",
"country_code": "US",
"telephone_number": "917-656-6958",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "MANSOOR",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2022-04-08",
"certification_date": "2022-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "R5881",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MA08206300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.