Individual provider Active NPI

Dewan Khan, MD

  • Internal Medicine Physician
  • Hopelawn, NJ
National Provider Identifier
1306914825
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA61758 Issued in NJ
Practice address
146 New Brunswick Avenue
Hopelawn, NJ 08861
Phone
(732) 697-1919
Fax
(732) 697-9247
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA61758 NJ Primary

Addresses

Primary practice location

146 New Brunswick Avenue
Hopelawn, NJ 08861

Mailing address

PO Box 7438
East Brunswick, NJ 08816
Phone (732) 697-1919

Other identifiers 1

IdentifierTypeStateIssuer
7097801MedicaidNJ

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
I20050622000020 NJ Practitioner - Internal Medicine 2769427657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

146 New Brunswick Ave
Hopelawn, NJ 08861-2242

Hospital & facility affiliations

  • Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA61758NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dewan S Khan M.D. PC Internal Medicine CurrentSince Jul 1, 2001 Accepting new patients
Cardiovascular Associates P.C. Past Accepting new patients

Locations

146 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 324-1444

Organizations & group practices 2

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 4

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1306914825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7438",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "08816",
            "telephone_number": "732-697-1919",
            "fax_number": "732-697-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 NEW BRUNSWICK AVENUE",
            "city": "HOPELAWN",
            "state": "NJ",
            "postal_code": "08861",
            "telephone_number": "732-697-1919",
            "fax_number": "732-697-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "DEWAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA61758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7097801",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopelawn, NJ

Sources for this page

Verify at the official NPI Registry.