Organization Active NPI

Path Clinical Services PC

  • Pain Medicine Physician
  • East Brunswick, NJ
National Provider Identifier
1477282010
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
PATH CLINICAL SERVICES PC
Practice address
10 Auer CT Ste 102
East Brunswick, NJ 08816-5848
Phone
(917) 683-2304
NPI assigned
Jun 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Authorized official

Name
Dr. Sunniya Khan, MD
Title
Physician
Phone
(908) 248-5672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

10 Auer CT Ste 102
East Brunswick, NJ 08816-5848

Mailing address

255 Regis Dr
Staten Island, NY 10314-1428
Phone (908) 248-5672

National Provider Directory

National Provider Directory

Locations

10 Auer Ct
Ste 102
East Brunswick, NJ 08816
Phone (917) 683-2304

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1477282010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 REGIS DR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141428",
            "telephone_number": "908-248-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 AUER CT STE 102",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165848",
            "telephone_number": "917-683-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATH CLINICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SUNNIYA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "908-248-5672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.