Organization Active NPI

Sohaila Khan MD PC

  • Pediatrics Physician
  • Parlin, NJ
National Provider Identifier
1386713915
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA70922 Issued in NJ
Legal business name
SOHAILA KHAN MD PC
Practice address
11 Burlew PL
Parlin, NJ 08859-1826
Phone
(732) 316-5444
Fax
(732) 316-0001
NPI assigned
Nov 7, 2006
Last updated
Apr 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Authorized official

Name
Dr. Sohaila Khan, MDNPI 1669541264
Title
President
Phone
(732) 316-5444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MA70922 NJ Primary

Addresses

Primary practice location

11 Burlew PL
Parlin, NJ 08859-1826

Mailing address

11 Burlew PL
Parlin, NJ 08859-1826
Phone (732) 316-5444

Other identifiers 3

IdentifierTypeStateIssuer
01OtherUHC
8450404MedicaidNJ
P2523641OtherNJOXFORD

Other names 1

  • same as above Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0991674Sohaila Khan MD PC11 Burlew Place, Parlin, NJ 08859Certificate of waiverSep 25, 2027

National Provider Directory

National Provider Directory

Locations

11 Burlew Pl
Parlin, NJ 08859
Phone (732) 316-5444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1386713915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BURLEW PL",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088591826",
            "telephone_number": "732-316-5444",
            "fax_number": "732-316-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BURLEW PL",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088591826",
            "telephone_number": "732-316-5444",
            "fax_number": "732-316-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOHAILA KHAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SOHAILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-316-5444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA70922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "01",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8450404",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2523641",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "same as above",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Parlin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.