Individual provider Active NPI

Ibraheem Khan, M.D.

  • Anesthesiology Physician
  • New Brunswick, NJ
National Provider Identifier
1396137683
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA09647000 Issued in NJ
Practice address
125 Paterson St
Cab 3100
New Brunswick, NJ 08901-1962
Phone
(732) 235-6153
NPI assigned
Feb 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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 25MA09647000 NJ Primary

Addresses

Primary practice location

125 Paterson St
Cab 3100
New Brunswick, NJ 08901-1962

Mailing address

125 Paterson St
Cab 3100
New Brunswick, NJ 08901-1962

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
I20151008000848 NJ Practitioner - Anesthesiology 7517275704 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Rutgers New Jersey Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garden State Healthcare Associates LLCGroup PAC ID 8426190687, 171 clinicians
Bay AnesthesiaGroup PAC ID 0446639306, 75 clinicians
Parkway Anesthesia Associates LLCGroup PAC ID 2567758931, 313 clinicians

Practice addresses (Care Compare)

176 Palisade Ave
Jersey City, NJ 07306-1121
Phone (201) 795-8200

308 Willow Ave
Hoboken, NJ 07030-3808

561 Cranbury Rd
East Brunswick, NJ 08816-5400
Phone (201) 620-3010

94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (973) 322-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09647000NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Associates of New Jersey Inc Anesthesiology CurrentSince Jun 1, 2023 Accepting new patients
University Physician Associates of New Jersey Inc CurrentSince Jun 1, 2023 Accepting new patients
Humc Opco LLC Current Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Aug 9, 2015 Accepting new patients
Parkway Anesthesia Associates LLC Anesthesiology CurrentSince Apr 15, 2024 Accepting new patients
Specialty Anesthesia Associates, LLC Anesthesiology CurrentSince Jul 7, 2019 Accepting new patients

Locations

11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071

97 Corbett Way
Eatontown, NJ 07724
Phone (732) 235-7816

234 Industrial Way W
Bldg B
Eatontown, NJ 07724
Phone (732) 229-8400

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

1215 Route 70
Ste 2000
Lakewood, NJ 08701
Phone (732) 719-1800

1215 Route 70
Lakewood, NJ 08701
Phone (732) 719-1800

94 Old Short Hills Rd
Ste 1
Livingston, NJ 07039
Phone (973) 322-2800

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056

30 Bergen St
Bldg 12
Newark, NJ 07107
Phone (973) 972-0037

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

167 Avenue At the Cmn
Ste 4
Shrewsbury, NJ 07702
Phone (732) 930-2026

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

Interoperability endpoints

  • Direct secure messaging: ibraheem.khan@direct.hobokenumc.md

Organizations & group practices 7

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": "1424736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1396137683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PATERSON ST",
            "address_2": "CAB 3100",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PATERSON ST",
            "address_2": "CAB 3100",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011962",
            "telephone_number": "732-235-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "IBRAHEEM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA09647000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.