Individual provider Active NPI

Mansoor A. Khan, MD

  • Emergency Medicine Physician
  • Wayne, NJ
National Provider Identifier
1114067667
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA08206300 Issued in NJ
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

Updated by the provider on Apr 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, CA7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20070510000190 NJ Practitioner - Emergency MedicinePractitioner - Internal Medicine 7113023912 Reassigns benefits to 6 organizations
I20080131000445 NY Practitioner - Emergency MedicinePractitioner - Internal Medicine 7113023912 Reassigns benefits to 1 organization
I20190207000758 FL Practitioner - Emergency Medicine 7113023912 Reassigns benefits to 1 organization
I20190823000421 TX Practitioner - Emergency Medicine 7113023912 Reassigns benefits to 2 organizations
I20200702002487 OH Practitioner - Emergency Medicine 7113023912 Reassigns benefits to 1 organization
I20250430000159 TN Practitioner - Emergency MedicinePractitioner - Internal Medicine 7113023912 Reassigns benefits to 1 organization
I20260109001488 CA Practitioner - Emergency Medicine 7113023912 Reassigns benefits to 1 organization

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
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R5881TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Aug 27, 2024 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Mar 1, 2016 Accepting new patients
Stationmd California PC Emergency Medicine CurrentSince Oct 11, 2025 Accepting new patients
Emergency Medicine Services of TN, PC Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Stationmd Professional Corporation Emergency Medicine CurrentSince Dec 11, 2014 Accepting new patients
Morristown Emergency Medical Associates LLC Emergency Medicine CurrentSince May 22, 2013 Accepting new patients
Rwjbh Emergency Medicine Associates, LLC Emergency Medicine CurrentSince Nov 30, 2020 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Mar 1, 2016 Accepting new patients
Rwjbh Observation Associates LLC Emergency Medicine CurrentSince Nov 30, 2020 Accepting new patients
Emergency Medical Associates of New Jersey PA Emergency Medicine PastSince May 10, 2020 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.

View all 16

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.