Individual provider Active NPI

Ezza Aslam Khan, MD

  • Infectious Disease Physician
  • Flemington, NJ
National Provider Identifier
1174836365
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
25MA09938500 Issued in NJ
Practice address
121 State Route 31 Ste 300
Flemington, NJ 08822-5744
Phone
(908) 788-6474
Fax
(908) 788-6616
NPI assigned
Jul 16, 2010
Last updated
Nov 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 25MA09938500 NJ Primary

Addresses

Primary practice location

121 State Route 31 Ste 300
Flemington, NJ 08822-5744

Mailing address

121 State Route 31 Ste 300
Flemington, NJ 08822-5744
Phone (908) 788-6474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170303001715 NJ Practitioner - Infectious Disease 5395996003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunterdon Specialty CareGroup PAC ID 4587966601, 94 clinicians

Practice addresses (Care Compare)

6 Sand Hill Rd
Suite 202
Flemington, NJ 08822-4946
Phone (908) 237-4080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.94 of 100Reported as group
Quality
79.98
Promoting interoperability
97
Improvement activities
40
Cost
72.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA09938500NJMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hunterdon Specialty Care PC Current Accepting new patients
Hunterdon Specialty Care CurrentSince Sep 1, 2018 Accepting new patients
Hunterdon Specialty Care, PC CurrentSince Sep 1, 2018 Accepting new patients
Hunterdon Specialty Care, PC Past Accepting new patients

Locations

1251 US Highway 22
Bridgewater, NJ 08807
Phone (908) 237-4108

121 State Route 31
Ste 1200
Flemington, NJ 08822
Phone (908) 782-0019

121 State Route 31
Ste 300
Flemington, NJ 08822
Phone (908) 788-6474

215 State Route 31
#116
Flemington, NJ 08822

3 Minneakoning Rd
Flemington, NJ 08822
Phone (908) 284-1125

6 Sand Hill Rd
Ste 202
Flemington, NJ 08822
Phone (908) 237-4080

Interoperability endpoints

  • Direct secure messaging: ezza.khan.p11@direct.hunterdon.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1174836365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 STATE ROUTE 31 STE 300",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225744",
            "telephone_number": "908-788-6474",
            "fax_number": "908-788-6474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 STATE ROUTE 31 STE 300",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225744",
            "telephone_number": "908-788-6474",
            "fax_number": "908-788-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "EZZA",
        "middle_name": "ASLAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-16",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA09938500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

Verify at the official NPI Registry.