Individual provider Active NPI

Farah Asim Khan, M.D

  • Psychiatry Physician
  • Edison, NJ
National Provider Identifier
1639325442
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MAO8460400 Issued in NJ
Practice address
3963 Park Ave
Edison, NJ 08820-3014
Phone
(908) 867-8786
NPI assigned
Aug 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MAO8460400 NJ Primary

Addresses

Primary practice location

3963 Park Ave
Edison, NJ 08820-3014

Mailing address

3963 Park Ave
Edison, NJ 08820-3014
Phone (908) 867-8786

Other names 1

  • Dr. Farah Khan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20100224000391 NJ Practitioner - Psychiatry 3476697715 Reassigns benefits to 1 organization
I20240715003915 PA Practitioner - Psychiatry 3476697715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
New York Medical College, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Omni Health Services IncGroup PAC ID 1153571831, 20 clinicians

Practice addresses (Care Compare)

182 Bethlehem Pike
Colmar, PA 18915-9790
Phone (215) 997-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MAO8460400NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Health Services, Inc. Current Accepting new patients
Behavioral Health Solutions, LLC Psychiatry Past Accepting new patients
Behavioral Health Solutions Psychiatry Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24259/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1639325442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3963 PARK AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203014",
            "telephone_number": "908-867-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3963 PARK AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203014",
            "telephone_number": "908-867-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "FARAH",
        "middle_name": "ASIM",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MAO8460400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FARAH",
            "last_name": "KHAN",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.