NPIMap

Individual provider Active NPI

Malik Adnan Ullah Khan, MD

  • Hospitalist Physician
  • Old Bridge, NJ
National Provider Identifier
1295905370
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
25MA09185700 Issued in NJ
Practice address
1 Hospital PLZ
Old Bridge, NJ 08857-3012
Phone
(732) 360-3552
Fax
(732) 360-3553
NPI assigned
Mar 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA09185700 NJ
Hospitalist Physician 208M00000X 25MA09185700 NJ Primary

Addresses

Primary practice location

1 Hospital PLZ
Old Bridge, NJ 08857-3012

Mailing address

1 Hospital PLZ
Old Bridge, NJ 08857-3012
Phone (732) 360-3552

Other practice location 1

353 Fairmont Blvd.
Rapid City, SD 57701
Phone (605) 719-1000

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
I20130207000270 NJ Practitioner - Internal Medicine 1951469394 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Physicians of New Jersey PAGroup PAC ID 3476859927, 162 clinicians

Practice addresses (Care Compare)

Morganville, NJ 07751
Phone (605) 370-2143

65 James St
Edison, NJ 08820-3947
Phone (732) 321-7000

727 N Beers St
Holmdel, NJ 07733-1514
Phone (732) 739-5900

Hospital & facility affiliations

  • Hackensack Meridian Hospice Hospice, Neptune, NJ, CCN 311533
  • Bayshore Medical Center Hospital, Holmdel, NJ, CCN 310112
  • 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

State licenses

LicenseStateTypeSpecialty
25MA09185700NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anoushey Health, LLC Internal Medicine CurrentSince Dec 5, 2023 Accepting new patients
Two River Physician Associates Hospitalist CurrentSince Dec 19, 2018 Accepting new patients
Liberty Med Associates LLC Internal Medicine CurrentSince Aug 14, 2019 Accepting new patients
Metropark Medical Care Internal Medicine Current Accepting new patients
Subacute Medical Associates Internal Medicine CurrentSince Apr 5, 2017 Accepting new patients
Holmdel Physician Associates Hospitalist CurrentSince Dec 19, 2017 Accepting new patients
Hospitalist Physicians of New Jersey PA Internal Medicine CurrentSince Mar 26, 2024 Accepting new patients
HMH Hospitals Corporation Past Accepting new patients

Locations

110 Grove Ave
Cedar Grove, NJ 07009
Phone (973) 571-6600

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

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

999 Palmer Ave
Ste 1
Holmdel, NJ 07733
Phone (732) 670-3313

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

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

865 Stone St
Rahway, NJ 07065
Phone (732) 381-4000

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

66 W Gilbert St
Ste 100
Tinton Falls, NJ 07701
Phone (201) 795-8637

66 W Gilbert St
Ste 200
Tinton Falls, NJ 07701
Phone (732) 212-0051

66 W Gilbert St
Fl 2
Tinton Falls, NJ 07701
Phone (732) 212-0051

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

Organizations & group practices 8

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 8

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": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1295905370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL PLZ",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573012",
            "telephone_number": "732-360-3552",
            "fax_number": "732-360-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL PLZ",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573012",
            "telephone_number": "732-360-3552",
            "fax_number": "732-360-3553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "353 Fairmont Blvd.",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "57701",
            "country_code": "US",
            "telephone_number": "605-719-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MALIK",
        "middle_name": "ADNAN ULLAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-05",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09185700",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NJ",
            "license": "25MA09185700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

Verify at the official NPI Registry.