Individual provider Active NPI

Tamanna Khan

  • Physical Therapist
  • Hoboken, NJ
National Provider Identifier
1386420529
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
133 Monroe St
Hoboken, NJ 07030-6957
Phone
(201) 533-0000
Fax
(201) 533-0008
NPI assigned
Sep 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

133 Monroe St
Hoboken, NJ 07030-6957

Mailing address

133 Monroe St
Hoboken, NJ 07030-6957
Phone (201) 533-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240104004512 NJ Practitioner - Physical Therapist in Private Practice 0749631695 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Charles P Gonzales DC PCGroup PAC ID 0840386041, 2 clinicians
Family Chiropractic Center of Bayonne PAGroup PAC ID 2567482201, 2 clinicians
Fraga Wellness Solutions PCGroup PAC ID 9436466687, 2 clinicians

Practice addresses (Care Compare)

120 Lefante Way
Bayonne, NJ 07002-5060
Phone (201) 858-0444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Charles P Gonzales DC PC CurrentSince Feb 17, 2025 Accepting new patients
Hoboken Physical Therapy Group LLC Physical Therapist CurrentSince Sep 10, 2023 Accepting new patients
Nunya Health Group LLP Physical Therapist CurrentSince Sep 30, 2023 Accepting new patients
Fraga Wellness Solutions, PC CurrentSince Feb 17, 2025 Accepting new patients
Family Chiropractic Center of Bayonne PA CurrentSince Feb 15, 2025 Accepting new patients

Locations

120 Lefante Way
Bayonne, NJ 07002
Phone (201) 339-2500

133 Monroe St
Hoboken, NJ 07030
Phone (201) 533-0000

200 Hudson St
Ste 127
Jersey City, NJ 07311
Phone (201) 721-6130

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1386420529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 MONROE ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070306957",
            "telephone_number": "201-533-0000",
            "fax_number": "201-533-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 MONROE ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070306957",
            "telephone_number": "201-533-0000",
            "fax_number": "201-533-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "TAMANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.