Individual provider Active NPI

Savita Khosla, MD

  • Gynecology Physician
  • Hackensack, NJ
National Provider Identifier
1265424238
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
25MA04219700 Issued in NJ
Practice address
58 Summit Ave
Hackensack, NJ 07601-1263
Phone
(201) 489-2255
Fax
(201) 489-4799
NPI assigned
Aug 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 25MA04219700 NJ Primary

Addresses

Primary practice location

58 Summit Ave
Hackensack, NJ 07601-1263

Mailing address

58 Summit Ave
Hackensack, NJ 07601-1263
Phone (201) 489-2255

Other identifiers 6

IdentifierTypeStateIssuer
4219150OtherNJAETNA PPO
64D771OtherNJEMPIRE BCBS HACKENSACK
BP438OtherNJOXFORD
047GU1OtherNJEMPIRE BCBS RIDGEWOOD
64D773OtherNJEMPIRE BCBS MAHWAH
0298785OtherNJGHI PPO

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
I20090109000343 NJ Practitioner - Obstetrics/Gynecology 4385631068 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

1124 E Ridgewood Ave
Ridgewood, NJ 07450-3941
Phone (201) 493-2310

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Services PC CurrentSince Jul 1, 2016 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Oct 3, 2022 Accepting new patients

Locations

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

22-18 Broadway
Ste 201
Fair Lawn, NJ 07410

58 Summit Ave
Hackensack, NJ 07601
Phone (201) 489-2255

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

30 Montgomery St
Ste 720
Jersey City, NJ 07302
Phone (212) 524-7730

400 Franklin Tpke
Ste 110
Mahwah, NJ 07430
Phone (201) 236-0400

1 Valley Health Plz
Paramus, NJ 07652
Phone (201) 634-5353

1124 E Ridgewood Ave
Ste 202
Ridgewood, NJ 07450
Phone (201) 689-9100

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

1124 E Ridgewood Ave
Ridgewood, NJ 07450
Phone (201) 493-2310

Organizations & group practices 3

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 6

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1265424238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 SUMMIT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011263",
            "telephone_number": "201-489-2255",
            "fax_number": "201-489-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 SUMMIT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011263",
            "telephone_number": "201-489-2255",
            "fax_number": "201-489-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOSLA",
        "first_name": "SAVITA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NJ",
            "license": "25MA04219700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4219150",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS HACKENSACK",
            "identifier": "64D771",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "BP438",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS RIDGEWOOD",
            "identifier": "047GU1",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS MAHWAH",
            "identifier": "64D773",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO",
            "identifier": "0298785",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.