Naseer Khan

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00534000 Issued in NJ

Practice address

59 Old Highway 22
Clinton, NJ 08809-1342

Phone

(908) 730-6363

NPI assigned

Aug 6, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jersey Irish MedicalGroup PAC ID 0941451215, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Jersey Irish Medical

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Bound Brook, NJ
  • NPI 1144575739
  Medicare reassignment Care Compare group
• The Doctor Is in, PA

  • Family Medicine Physician
  • Clinton, NJ
  • NPI 1396854006
  Medicare reassignment

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1598310609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 LIBERTY ST",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086292008",
            "telephone_number": "609-558-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 OLD HIGHWAY 22",
            "city": "CLINTON",
            "state": "NJ",
            "postal_code": "088091342",
            "telephone_number": "908-730-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "NASEER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-06",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MP00534000",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00534000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "naseer.khan.p1@direct.tdii.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "NextGen EMR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "59 Old Highway 22",
            "city": "Clinton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088091342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karen Lee Kane, LCSW
• Karin I. Gruss Limited Liability Company (Karin I. Gruss)
• Susan Karpinski-Failla, DO
• Art Kellenberger, D.C.
• Allison Sloan Kendrick, D.M.D
• Paige Danielle Kleinfeldt, LCSW
• Tiffany Kolln, RD
• Janette La Vigne, CHHC, AADP
• Jeremy Laiken
• Cleopatra Zofia Lakota

• Medical Physician Assistant in Clinton, NJ
• Providers in Clinton, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.