Individual provider Active NPI

Yasmeen Khan, MD

  • Anesthesiology Physician
  • Elizabeth, NJ
National Provider Identifier
1295761294
Registry record updated Feb 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA08381900 Issued in NJ
Practice address
171 Elmora Ave
Elizabeth, NJ 07202-1169
Phone
(201) 560-7611
NPI assigned
Jun 23, 2006
Last updated
Feb 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA08381900 NJ Primary

Addresses

Primary practice location

171 Elmora Ave
Elizabeth, NJ 07202-1169

Mailing address

PO Box 656
Saddle River, NJ 07458-0656
Phone (201) 560-7611

Other identifiers 1

IdentifierTypeStateIssuer
098-334-996OtherPERMANENT RESIDENT CARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080701000022 NJ Practitioner - Anesthesiology 4082627930 Reassigns benefits to 5 organizations
I20160919001201 NY Practitioner - Anesthesiology 4082627930 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08381900NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avalon Medical Center, LLC CurrentSince Jan 1, 2025 Accepting new patients
Excellence Medical Care, PC Current Accepting new patients
Metro Oba Medical Services, PC Anesthesiology CurrentSince May 21, 2022 Accepting new patients
Centurion Anesthesia Surgical Centers LLC Anesthesiology CurrentSince Dec 1, 2021 Accepting new patients
R&N Anesthesia PLLC Anesthesiology CurrentSince Aug 26, 2021 Accepting new patients
Glacier Cryo Medical P.C Anesthesiology CurrentSince Aug 26, 2021 Accepting new patients
James Marc Schlesinger MD PC Anesthesiology CurrentSince Aug 24, 2015 Accepting new patients
Pain Management Institute PA Anesthesiology CurrentSince Mar 1, 2015 Accepting new patients
Canj Anesthesia LLC Anesthesiology CurrentSince Dec 1, 2021 Accepting new patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Sep 1, 2021 Accepting new patients
DM Anesthetists of Il, LLC Past Accepting new patients

Locations

619 River Dr
Elmwood Park, NJ 07407
Phone (201) 703-2900

15-01 Pollitt Dr
Ste 8B
Fair Lawn, NJ 07410
Phone (201) 773-6537

321 Essex St
Hackensack, NJ 07601
Phone (201) 692-9800

190 Midland Ave
Saddle Brook, NJ 07663
Phone (201) 549-9998

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

18 Mule Rd
Toms River, NJ 08755
Phone (201) 703-2900

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

2829 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 676-4112

11120 Queens Blvd
Forest Hills, NY 11375
Phone (718) 263-2208

121 Executive Dr
Ste 200
New Windsor, NY 12553
Phone (845) 407-0770

10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600

10715 Jamaica Ave
Richmond Hill, NY 11418
Phone (646) 725-4360

944 N Broadway
Yonkers, NY 10701
Phone (914) 965-1234

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708214400000",
    "number": "1295761294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 656",
            "city": "SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074580656",
            "telephone_number": "201-560-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 ELMORA AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021169",
            "telephone_number": "201-560-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "YASMEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2024-02-18",
        "certification_date": "2024-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA08381900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERMANENT RESIDENT CARD",
            "identifier": "098-334-996",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

Verify at the official NPI Registry.