NPIMap

Individual provider Active NPI

Mohammad Waqas Khan, M.D.

  • Family Medicine Physician
  • Yonkers, NY
National Provider Identifier
1255863452
Registry record updated May 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA10877900 Issued in NJ
Practice address
127 S Broadway
Yonkers, NY 10701-4006
Phone
(732) 939-2187
NPI assigned
Mar 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NY
Family Medicine Physician 207Q00000X 25MA10877900 NJ Primary

Addresses

Primary practice location

127 S Broadway
Yonkers, NY 10701-4006

Mailing address

22 Kara CT
Matawan, NJ 07747-7000
Phone (732) 939-2187

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
I20201006001027 NJ Practitioner - Family Practice 6507285848 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Physicians of New Jersey PAGroup PAC ID 3476859927, 162 clinicians
Hackensack Meridian Urgent Care PCGroup PAC ID 2769751270, 50 clinicians

Practice addresses (Care Compare)

1 Hospital PLZ
Old Bridge, NJ 08857-3012
Phone (732) 360-1000

1080 Stelton Rd
Piscataway, NJ 08854-5201
Phone (848) 230-6802

Hospital & facility affiliations

  • Hackensack Meridian Hospice Hospice, Neptune, NJ, CCN 311533
  • Bayshore Medical Center Hospital, Holmdel, NJ, CCN 310112
  • Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Jul 29, 2020 Accepting new patients
Hackensack Meridian Urgent Care, PC CurrentSince May 15, 2021 Accepting new patients
NJ Acute Care Specialists Professional Corporation CurrentSince Dec 1, 2024 Accepting new patients
Central Jersey Urgent Care CurrentSince Feb 1, 2024 Accepting new patients
Prohealth Urgent Care Medicine of New Jersey LLP CurrentSince Apr 1, 2021 Accepting new patients
Hospitalist Physicians of New Jersey PA Family Medicine CurrentSince Apr 30, 2024 Accepting new patients
Sai Inpatient Resources, LLC CurrentSince Feb 8, 2022 Accepting new patients
Central Jersey Urgent Care CurrentSince Feb 1, 2024 Accepting new patients
Summit Medical Group PA CurrentSince Jul 29, 2020 Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
Northern Ohio Medical Specialists, LLC PastSince May 15, 2021 Accepting new patients
HMH Hospitals Corporation Past Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

1210 Route 130 N
Ste 1438
Cinnaminson, NJ 08077
Phone (551) 313-0170

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

65 James St
Edison, NJ 08820
Phone (732) 321-7010

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

315 W Main St
Freehold, NJ 07728
Phone (732) 431-3373

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

298 Applegarth Rd
Ste B
Monroe Township, NJ 08831
Phone (609) 409-0600

215 Applegarth Rd
Monroe Twp, NJ 08831
Phone (848) 888-4436

731 State Route 35
Unit G
Ocean, NJ 07712
Phone (732) 455-8444

1 Hospital Plz
Old Bridge, NJ 08857
Phone (732) 324-4158

530 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 324-5007

1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000

1 Harmon Plz
Ste 1010
Secaucus, NJ 07094

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

Interoperability endpoints

  • Direct secure messaging: mohammad.khan.p1@direct.saintjosephs.nextgenshare.com
  • Direct secure messaging: hackensackmeridian.mohammadkhan@136290.advancedmd-direct.com

Organizations & group practices 12

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 10

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": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622246400000",
    "number": "1255863452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 KARA CT",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077477000",
            "telephone_number": "732-939-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107014006",
            "telephone_number": "732-939-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MOHAMMAD",
        "middle_name": "WAQAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2021-05-29",
        "certification_date": "2021-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA10877900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.