Amber Manzoor Khan, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

25MA07209000 Issued in NJ

Practice address

1500 Mountain Top Rd
Bridgewater, NJ 08807-1837

Phone

(908) 522-1313

Fax

(908) 522-1302

NPI assigned

Sep 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Gastroenterology

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: akhan52633@epicdirect.rwjbh.org
• FHIR API: https://fhir4.healow.com/fhir/r4/HECJBA/Endpoint/HECJBA

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.

• Gastrocare LLC

  • Gastroenterology Physician
  • Mountainside, NJ
  • NPI 1497873244
  Medicare reassignment NPD Authorized official
• Morris Avenue Endoscopy LLC

  • Anesthesiology Physician
  • Mountainside, NJ
  • NPI 1184778060
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1508958471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MOUNTAIN TOP RD",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071837",
            "telephone_number": "908-522-1313",
            "fax_number": "908-522-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MOUNTAIN TOP RD",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071837",
            "telephone_number": "908-522-1313",
            "fax_number": "908-522-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AMBER",
        "middle_name": "MANZOOR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA07209000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "20-1466845",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa C Kelly, LPC
• Asia Kersey, OT
• Alexander Ketselman, CMT
• Eugene Ketselman, PT, DPT, FAAOMPT
• Keystone Community Living, Inc.
• Imran Khan, M.D
• Umbareen Khan
• Pawel Kielczewski, RRT
• Linda A Kiesel, MSW,LSW
• Heekook Kim

• Gastroenterology Physician in Bridgewater, NJ
• Providers in Bridgewater, NJ by specialty
• Gastroenterology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.

Verify at the official NPI Registry.