Active NPI
Ghulam Sajjad Khan, MD
- Psychiatry Physician
- Paramus, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MA11597000
- Practice address
- 230 E Ridgewood Ave
Paramus, NJ 07652-4142 - Phone
- (862) 588-0845
- NPI assigned
- May 9, 2019
- Last updated
- Jan 16, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Family Guidance, PC | Psychiatry | Current | Accepting new patients |
| Garden State Counseling, Inc | Psychiatry | Current | 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
- 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.
-
- Geriatric Psychiatry Physician
- Marlton, NJ
- NPI 1508803388
-
- Psychiatry Physician
- Wayne, NJ
- NPI 1871901801
-
dba Ramapo Ridge Psychiatric Hospital
- Psychiatric Hospital
- Wyckoff, NJ
- NPI 1114916954
-
- Specialist
- Paramus, NJ
- NPI 1407972755
-
- Psychiatric Hospital
- Blackwood, NJ
- NPI 1487070793
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.