NPIMap

Individual provider Active NPI

Mohammad Usman Nasir Khan, MBBS

  • Vascular Surgery Physician
  • Neptune, NJ
National Provider Identifier
1619102662
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
25MA09224300 Issued in NJ
Practice address
3700 Route 33
Suite C 2ND Floor
Neptune, NJ 07753-3206
Phone
(732) 212-6590
Fax
(732) 922-2026
NPI assigned
May 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MD18187 ME
Vascular Surgery Physician 2086S0129X 25MA09224300 NJ Primary

Addresses

Primary practice location

3700 Route 33
Suite C 2ND Floor
Neptune, NJ 07753-3206

Mailing address

3700 Route 33
Suite C 2ND Floor
Neptune, NJ 07753-3206
Phone (732) 212-6590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130328000514 NJ Practitioner - Vascular Surgery 1759420664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 Industrial Way E
Suite 103
Eatontown, NJ 07724-3332
Phone (848) 257-1900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal29
Leg revascularization (restoring blood flow)206
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD18187MEMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular & Vein Center of NJ LLC Vascular Surgery CurrentSince Jun 1, 2019 Accepting new patients
Vascular & Vein Center of New Jersey LLC Vascular Surgery Current Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Vascular Surgery PastSince Jan 1, 2013 Accepting new patients

Locations

10 Industrial Way E
Ste 103
Eatontown, NJ 07724
Phone (732) 735-0987

Interoperability endpoints

  • Direct secure messaging: mnasirkhan425343@direct.ahsys.org

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1619102662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 ROUTE 33",
            "address_2": "SUITE C 2ND FLOOR",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077533206",
            "telephone_number": "732-212-6590",
            "fax_number": "732-922-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 ROUTE 33",
            "address_2": "SUITE C 2ND FLOOR",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077533206",
            "telephone_number": "732-212-6590",
            "fax_number": "732-922-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASIR KHAN",
        "first_name": "MOHAMMAD",
        "middle_name": "USMAN",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-20",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "ME",
            "license": "MD18187",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MA09224300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.