Individual provider Active NPI

Ahsan Saeed Khan, D.O.

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1447665658
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MB11171700 Issued in NJ
Practice address
622 W 168TH St
New York, NY 10032-3720
Phone
(212) 305-5996
Fax
(212) 305-7237
NPI assigned
Jun 25, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 302238 NY
Cardiovascular Disease Physician 207RC0000X 0102207276 VA
Nuclear Cardiology Physician 207UN0901X 302238 NY
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 25MB11171700 NJ Primary

Addresses

Primary practice location

622 W 168TH St
New York, NY 10032-3720

Mailing address

464 Hudson Ter
Ste 201a
Englewood Cliffs, NJ 07632-2917
Phone (212) 305-5996

Other practice location 1

600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 388-8870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200625000946 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Nuclear Medicine 8527480276 Reassigns benefits to 3 organizations
I20211110000738 NJ Practitioner - Cardiovascular Disease (Cardiology) 8527480276 Reassigns benefits to 3 organizations
I20220805000142 VA Practitioner - Cardiovascular Disease (Cardiology) 8527480276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians
Central Avenue Professional Services, PCGroup PAC ID 7214258003, 49 clinicians
Professional Service Fund of Deborah Heart and Lung CenterGroup PAC ID 4284537499, 118 clinicians
St Francis Cardiac Prevention Services PCGroup PAC ID 4183515836, 60 clinicians

Practice addresses (Care Compare)

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 376-3000

111 Central Ave
Newark, NJ 07102-1909
Phone (973) 877-5300

200 Trenton Rd
Browns Mills, NJ 08015-1705
Phone (609) 893-6611

2200 Northern Blvd
100C St Francis Diagnostic
Greenvale, NY 11548-1220
Phone (516) 325-7400

Hospital & facility affiliations

  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182
  • Deborah Heart and Lung Center Hospital, Browns Mills, NJ, CCN 310031
  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286
  • St Catherine of Siena Hospital Hospital, Smithtown, NY, CCN 330401
  • Saint Michael'S Medical Center Hospital, Newark, NJ, CCN 310096

National Provider Directory

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

Practice roles (10 of 14)

OrganizationSpecialtyStatusNew patients
Central Avenue Professional Services, PC Multi-Specialty CurrentSince Apr 18, 2025 Accepting new patients
CHS Physician Partners, P.C Multi-Specialty CurrentSince Mar 17, 2025 Accepting new patients
Trustees of Columbia University in the City of New York Multi-Specialty CurrentSince May 3, 2020 Accepting new patients
Trustees of Columbia University in the City of New York Multi-Specialty CurrentSince May 3, 2020 Accepting new patients
Sentara Medical Group Multi-Specialty CurrentSince Sep 1, 2022 Accepting new patients
Professional Service Fund of Deborah Heart & Lung Center Multi-Specialty CurrentSince May 15, 2025 Accepting new patients
Hudson MD Group Multi-Specialty CurrentSince Oct 1, 2021 Accepting new patients
St. Francis Cardiac Prevention Services PC Multi-Specialty CurrentSince Mar 17, 2025 Accepting new patients
CHS Physician Partners, PC Multi-Specialty Current Accepting new patients
David W. Lee MD PA Multi-Specialty PastSince Feb 6, 2007 Accepting new patients

Locations

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

464 Hudson Ter
Ste 201A
Englewood Cliffs, NJ 07632
Phone (201) 503-0828

1625 Anderson Ave
Ste 204
Fort Lee, NJ 07024
Phone (201) 224-0011

111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060

443 Northfield Ave
Ste 301
West Orange, NJ 07052
Phone (908) 315-5602

2112 Middle Country Rd
Centereach, NY 11720
Phone (631) 247-7463

2200 Northern Blvd
Ste 100C
Greenvale, NY 11548
Phone (516) 325-7400

2200 Northern Blvd
Ste 118
Greenvale, NY 11548
Phone (516) 563-7910

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

630 W 168th St
#4
New York, NY 10032
Phone (212) 305-6387

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 10

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 5

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": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1447665658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 HUDSON TER",
            "address_2": "STE 201A",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322917",
            "telephone_number": "212-305-5996",
            "fax_number": "212-305-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720",
            "telephone_number": "212-305-5996",
            "fax_number": "212-305-7237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Gresham Dr",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071904",
            "country_code": "US",
            "telephone_number": "757-388-8870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AHSAN",
        "middle_name": "SAEED",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-25",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "302238",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0102207276",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NY",
            "license": "302238",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MB11171700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.