Active NPI
Ghassan Khani, M.D.
- Surgery Physician
- Secaucus, NJ
National Provider Identifier
1124190616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MA034629
- Practice address
- 255 State RT 3
Suite 202
Secaucus, NJ 07094-3857 - Phone
- (201) 866-3266
- Fax
- (201) 866-0887
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MA034629 | NJ | Primary |
Addresses
Primary practice location
255 State RT 3
Suite 202
Secaucus, NJ 07094-3857
Mailing address
255 State RT 3
Suite 202
Secaucus, NJ 07094-3857
Phone (201) 866-3266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124190616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 STATE RT 3",
"address_2": "SUITE 202",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "070943857",
"telephone_number": "201-866-3266",
"fax_number": "201-866-0887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 STATE RT 3",
"address_2": "SUITE 202",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "070943857",
"telephone_number": "201-866-3266",
"fax_number": "201-866-0887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHANI",
"first_name": "GHASSAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "MA034629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Secaucus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.