Active NPI
Ahsan Saeed Khan, D.O.
- Cardiovascular Disease Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 25MB11171700
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 302238 | NY | |
| Cardiovascular Disease Physician | 207RC0000X | 0102207276 | VA | |
| Nuclear Cardiology Physician | 207UN0901X | 302238 | NY | |
| Cardiovascular Disease Physician | 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, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200625000946 | NY | Practitioner - Cardiovascular Disease (Cardiology) | 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 PCCentral Avenue Professional Services, PCProfessional Service Fund of Deborah Heart and Lung CenterSt Francis Cardiac Prevention Services PC
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
- Deborah Heart and Lung Center
- Good Samaritan Hospital Medical Center
- St Catherine of Siena Hospital
- Saint Michael'S Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles (10 of 14)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Avenue Professional Services, PC | Multi-Specialty | Current | Accepting new patients |
| CHS Physician Partners, P.C | Multi-Specialty | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Multi-Specialty | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Multi-Specialty | Current | Accepting new patients |
| Sentara Medical Group | Multi-Specialty | Current | Accepting new patients |
| Professional Service Fund of Deborah Heart & Lung Center | Multi-Specialty | Current | Accepting new patients |
| Hudson MD Group | Multi-Specialty | Current | Accepting new patients |
| St. Francis Cardiac Prevention Services PC | Multi-Specialty | Current | Accepting new patients |
| CHS Physician Partners, PC | Multi-Specialty | Current | Accepting new patients |
| David W. Lee MD PA | Multi-Specialty | Past | 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
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- 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.
-
- Interventional Cardiology Physician
- Fresh Meadows, NY
- NPI 1407089345
Multi-Specialty, NY
-
- Diagnostic Radiology Physician
- Melville, NY
- NPI 1376952804
Multi-Specialty, NY
-
- Critical Care Medicine (Internal Medicine) Physician
- Newark, NJ
- NPI 1447649694
Multi-Specialty, NJ
-
- Specialist
- Browns Mills, NJ
- NPI 1407803596
Multi-Specialty, NJ
-
- Surgery Physician
- New York, NY
- NPI 1508266347
Multi-Specialty, NY
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
Multi-Specialty
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
Multi-Specialty
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Islip, NY
- NPI 1902865355
Hospital
-
- General Acute Care Hospital
- Smithtown, NY
- NPI 1982663423
Hospital
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1568825545
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.