Individual provider Active NPI

Anwar Ahmad Khan, M.D.

  • Internal Medicine Physician
  • Jersey City, NJ
National Provider Identifier
1629168919
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07606700 Issued in NJ
Practice address
66 York St
Suite # 101
Jersey City, NJ 07302-3838
Phone
(201) 626-7201
Fax
(201) 526-7202
NPI assigned
Oct 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X 226439 NY
Emergency Medicine Physician 207P00000X 226439-01 NY
Emergency Medicine Physician 207P00000X N9240 TX
Internal Medicine Physician 207R00000X 25MA07606700 NJ Primary

Addresses

Primary practice location

66 York St
Suite # 101
Jersey City, NJ 07302-3838

Mailing address

66 York St
Suite # 101
Jersey City, NJ 07302-3838
Phone (201) 626-7201

Other identifiers 1

IdentifierTypeStateIssuer
0123382MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040609000493 NY Practitioner - Internal MedicinePractitioner - Emergency Medicine 4486637733 Reassigns benefits to 3 organizations
I20050517000592 NJ Practitioner - Internal Medicine 4486637733 Reassigns benefits to 4 organizations
I20110825000326 TX Practitioner - Emergency MedicinePractitioner - Internal Medicine 4486637733 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
226439-01NYMDEmergency Medicine Physician
25MA07606700NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Aug 7, 2025 Accepting new patients
Third Coast Emergency Physicians Southwest PA Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
Delphi Healthcare PLLC Emergency Medicine CurrentSince Dec 1, 2022 Accepting new patients
Emergency Physician Associates of North Jersey P C Emergency Medicine CurrentSince Apr 20, 2009 Accepting new patients
Lawrence Medical Associates, PC Internal Medicine Current Accepting new patients
Edinburg Emergency Medicine Associates PA Emergency Medicine CurrentSince Dec 3, 2012 Accepting new patients
Port Arthur Emergency Physicians Emergency Medicine CurrentSince Oct 1, 2015 Accepting new patients
Lawrence Medical Associates, PC Emergency Medicine CurrentSince Feb 17, 2018 Accepting new patients
Medical Services of Suffolk County PC Emergency Medicine CurrentSince Sep 1, 2013 Accepting new patients
Small Hospital Innovations LLC Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Stadium Emergency Associates CurrentSince May 19, 2019 Accepting new patients
Emergency Physician Associates of South Jersey P C Emergency Medicine CurrentSince Mar 1, 2010 Accepting new patients
Medical Services of Suffolk County PC Emergency Medicine CurrentSince Sep 1, 2013 Accepting new patients
Chambers Emergency Associates PA Emergency Medicine CurrentSince Mar 1, 2023 Accepting new patients
Lawrence Medical Associates, PC CurrentSince Feb 17, 2018 Accepting new patients
Buffalo Emergency Associates LLP Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Greenville Hospital Emergency Medicine Past Accepting new patients

Locations (25 of 31)

100 Townsend Ave
Berlin, NJ 08009
Phone (856) 322-3000

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

66 W Gilbert St
Ste 100
Tinton Falls, NJ 07701
Phone (201) 795-8637

601 Hamilton Ave
Trenton, NJ 08629
Phone (609) 599-5000

55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

685 White Plains Rd
Lowr
Eastchester, NY 10709
Phone (914) 787-4100

685 White Plains Rd
Fl 2
Eastchester, NY 10709
Phone (914) 787-4100

845 Route 5 and 20
Irving, NY 14081
Phone (716) 593-1100

515 Main St
Olean, NY 14760
Phone (716) 373-2600

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

6025 Metropolitan Dr
Beaumont, TX 77706
Phone (409) 236-9000

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

7 Medical Pkwy
Farmers Brnch, TX 75234
Phone (972) 247-1000

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1629168919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 YORK ST",
            "address_2": "SUITE # 101",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023838",
            "telephone_number": "201-626-7201",
            "fax_number": "201-526-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 YORK ST",
            "address_2": "SUITE # 101",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023838",
            "telephone_number": "201-626-7201",
            "fax_number": "201-526-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ANWAR",
        "middle_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-15",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "NY",
            "license": "226439",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "226439-01",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N9240",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07606700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0123382",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.