NPIMap

Individual provider Active NPI

Haroon M Khan, P.A.

  • Physician Assistant
  • Neptune, NJ
National Provider Identifier
1225293384
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00201500 Issued in NJ
Practice address
1820 State Route 33
Suite 4B
Neptune, NJ 07753-4860
Phone
(732) 776-8500
Fax
(732) 776-8946
NPI assigned
Jul 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00201500 NJ Primary

Addresses

Primary practice location

1820 State Route 33
Suite 4B
Neptune, NJ 07753-4860

Mailing address

1820 State Route 33
Suite 4B
Neptune, NJ 07753-4860
Phone (732) 776-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100624000044 NJ Practitioner - Physician Assistant 2062543747 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Associates of the Delaware Valley,P aGroup PAC ID 9032001284, 94 clinicians
Shore Heart Group, PAGroup PAC ID 1557268448, 36 clinicians

Practice addresses (Care Compare)

1 Hwy 35
Keyport, NJ 07735-1166
Phone (732) 360-6333

1 State Route 35
Keyport, NJ 07735-1166
Phone (732) 360-6333

115 E Bay Ave
Manahawkin, NJ 08050-3109
Phone (609) 971-3300

1820 Corlies Ave
Suite 4B
Neptune, NJ 07753-4860
Phone (732) 776-8500

1820 State Route 33
Suite 4B
Neptune, NJ 07753-4860
Phone (732) 776-8500

21 N Gilbert St
Tinton Falls, NJ 07701-4950
Phone (732) 542-7600

210 W Atlantic Ave
Haddon Heights, NJ 08035-1715
Phone (856) 546-3003

35 Beaverson Blvd
9B
Brick, NJ 08723-7862
Phone (732) 262-4262

9 Mule Rd
Toms River, NJ 08755-5052
Phone (732) 281-1101

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.51 of 100Reported as group
Promoting interoperability
82
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jun 14, 2022 Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1225293384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 STATE ROUTE 33",
            "address_2": "SUITE 4B",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534860",
            "telephone_number": "732-776-8500",
            "fax_number": "732-776-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 STATE ROUTE 33",
            "address_2": "SUITE 4B",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534860",
            "telephone_number": "732-776-8500",
            "fax_number": "732-776-8946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "HAROON",
        "middle_name": "M",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00201500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.