Individual provider Active NPI

Anum Khan Waqar, DO

  • Internal Medicine Physician
  • Berkeley Heights, NJ
National Provider Identifier
1578950317
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB10271100 Issued in NJ
Practice address
1 Diamond Hill Road
Berkeley Heights, NJ 07922
Phone
(908) 277-8625
Fax
(908) 673-7132
NPI assigned
Apr 20, 2015
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 291617 NY
Internal Medicine Physician 207R00000X 25MB10271100 NJ Primary

Addresses

Primary practice location

1 Diamond Hill Road
Berkeley Heights, NJ 07922

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Other practice location 1

901 Franklin Ave
Garden City, NY 11530-2933
Phone (516) 620-0894

Other names 1

  • Anum Khan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20221026002262 NY Practitioner - Internal Medicine 4587984109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

292 Herricks Rd
Mineola, NY 11501-1119
Phone (516) 746-2273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB10271100NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Nov 1, 2022 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Nov 1, 2022 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients

Locations

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

292 Herricks Rd
Mineola, NY 11501
Phone (516) 294-8910

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: anum.waqar.2@2983.direct.athenahealth.com

Organizations & group practices 3

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": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1578950317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-273-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL ROAD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "07922",
            "telephone_number": "908-277-8625",
            "fax_number": "908-673-7132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Franklin Ave",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "NY",
            "postal_code": "115302933",
            "country_code": "US",
            "telephone_number": "516-620-0894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAQAR",
        "first_name": "ANUM",
        "middle_name": "KHAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "291617",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB10271100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANUM",
            "last_name": "KHAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Berkeley Heights, NJ

Sources for this page

Verify at the official NPI Registry.