Individual provider Active NPI

Khashayar Vosough, MD

  • Obstetrics & Gynecology Physician
  • Springfield, NJ
National Provider Identifier
1487692299
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA06580400 Issued in NJ
Practice address
193 Mountain Ave
Springfield, NJ 07081-1755
Phone
(973) 218-1579
Fax
(973) 218-1589
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA06580400 NJ Primary

Addresses

Primary practice location

193 Mountain Ave
Springfield, NJ 07081-1755

Mailing address

193 Mountain Ave
Springfield, NJ 07081-1755
Phone (973) 218-1579

Other identifiers 7

IdentifierTypeStateIssuer
24476OtherNJAMERIGROUP
18607OtherNJUNIVERSITY HEALTH PLANS
7444401MedicaidNJ
264795091OtherNJADVANCED LAPAROSCOPY TAX ID
300171467OtherNJCOMPREHENSIVE WOMEN'S HEALTHCARE,LLC TAX ID
P1265811OtherNJOXFORD
1790731271OtherNJGROUP NPI

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
I20040423000834 NJ Practitioner - Obstetrics/Gynecology 5395731350 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians
New Beginnings OB/GYN, LLCGroup PAC ID 8820242415, 3 clinicians

Practice addresses (Care Compare)

1045 Bloomfield Ave
Clifton, NJ 07012-2120
Phone (973) 883-1111

193 Mountain Ave
Springfield, NJ 07081-1755
Phone (973) 218-1579

695 N State Rte
17 Suite 101
Paramus, NJ 07652-3110
Phone (201) 765-7036

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06580400NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Women Health PC Obstetrics & Gynecology CurrentSince Dec 28, 2024 Accepting new patients
The Radiology Group of New Jersey, LLC CurrentSince Nov 1, 2025 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Sep 19, 2023 Accepting new patients
New Beginnings, OB/GYN, LLC Obstetrics & Gynecology CurrentSince May 1, 2024 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Sep 19, 2023 Accepting new patients
Monmouth Digestive Health LLC PastSince Aug 17, 2020 Accepting new patients
Northeast Women Health PC Past Accepting new patients
Athena Healthcare Group LLC Obstetrics & Gynecology Past Accepting new patients
Comprehensive Womens Healthcare PastSince Aug 6, 2004 Accepting new patients

Locations

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

1045 Bloomfield Ave
Clifton, NJ 07012
Phone (973) 883-1111

145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

57 US Highway 46
Ste 212
Hackettstown, NJ 07840

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

175 High St
Newton, NJ 07860
Phone (973) 383-2121

222 High St
Ste 205
Newton, NJ 07860
Phone (973) 579-4060

695 N Route 17
Paramus, NJ 07652
Phone (201) 597-4000

695 N State Rt 17
Ste 101
Paramus, NJ 07652
Phone (201) 765-7036

695 N Route 17
Ste 101
Paramus, NJ 07652
Phone (201) 597-4000

97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000

505 Goffle Rd
Ridgewood, NJ 07450
Phone (201) 597-4000

193 Mountain Ave
Springfield, NJ 07081
Phone (973) 218-1579

220 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 790-8090

Organizations & group practices 9

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 1

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1487692299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 MOUNTAIN AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811755",
            "telephone_number": "973-218-1579",
            "fax_number": "973-218-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 MOUNTAIN AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811755",
            "telephone_number": "973-218-1579",
            "fax_number": "973-218-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOSOUGH",
        "first_name": "KHASHAYAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA06580400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "24476",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTH PLANS",
            "identifier": "18607",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7444401",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED LAPAROSCOPY TAX ID",
            "identifier": "264795091",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPREHENSIVE WOMEN'S HEALTHCARE,LLC TAX ID",
            "identifier": "300171467",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1265811",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1790731271",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

Verify at the official NPI Registry.