Individual provider Active NPI

Ghulam Sajjad Khan, MD

  • Psychiatry Physician
  • Paramus, NJ
National Provider Identifier
1447815071
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA11597000 Issued in NJ
Practice address
230 E Ridgewood Ave
Paramus, NJ 07652-4142
Phone
(862) 588-0845
NPI assigned
May 9, 2019
Last updated
Jan 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X NU
Psychiatry Physician 2084P0800X 25MA11597000 NJ Primary

Addresses

Primary practice location

230 E Ridgewood Ave
Paramus, NJ 07652-4142

Mailing address

103 Elizabeth Ave
Iselin, NJ 08830-2143
Phone (862) 588-0845

Other practice location 1

506 Hamburg Tpke Ste 209
Wayne, NJ 07470-2069
Phone (631) 839-1880

Other practice location 2

765 Route 70 E Bldg A100
Marlton, NJ 08053-2341
Phone (856) 983-3900

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
I20230526002359 NJ Practitioner - Psychiatry 3375900806 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christian Health Care CenterGroup PAC ID 7618887340, 13 clinicians
Garden State Counseling, IncGroup PAC ID 1850617119, 4 clinicians
Center for Family Guidance PCGroup PAC ID 2860396454, 164 clinicians

Practice addresses (Care Compare)

301 Sicomac Ave
Wyckoff, NJ 07481-2159
Phone (201) 848-5500

506 Hamburg Tpke
Suite 209
Wayne, NJ 07470-2069
Phone (973) 720-9300

765 Route 70 E
BLDG a
Marlton, NJ 08053-2341
Phone (856) 983-3900

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Family Guidance, PC Psychiatry CurrentSince May 1, 2023 Accepting new patients
Garden State Counseling, Inc Psychiatry CurrentSince Sep 30, 2024 Accepting new patients
Clinical Psychiatry Consultants PC Past Accepting new patients
Elmwood Hills Healthcare Center LLC Past Accepting new patients

Locations

425 Woodbury Turnersville Rd
Blackwood, NJ 08012
Phone (856) 374-6500

333 Irving Ave
Bridgeton, NJ 08302
Phone (856) 575-4500

765 Route 70 E
Bldg A
Marlton, NJ 08053
Phone (856) 797-4721

506 Hamburg Tpke
Ste 209
Wayne, NJ 07470
Phone (631) 839-1880

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1447815071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 ELIZABETH AVE",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088302143",
            "telephone_number": "862-588-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E RIDGEWOOD AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524142",
            "telephone_number": "862-588-0845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 Hamburg Tpke Ste 209",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "074702069",
            "country_code": "US",
            "telephone_number": "631-839-1880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "765 Route 70 E Bldg A100",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080532341",
            "country_code": "US",
            "telephone_number": "856-983-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "GHULAM",
        "middle_name": "SAJJAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-09",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA11597000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.