Individual provider Active NPI

Guli Khan, MD

  • Emergency Medicine Physician
  • Millstone Township, NJ
National Provider Identifier
1669509741
Registry record updated Jul 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA05369400 Issued in NJ
Practice address
2 Abate Dr
Millstone Township, NJ 08510-8773
Phone
(732) 662-5946
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MA05369400 NJ Primary

Addresses

Primary practice location

2 Abate Dr
Millstone Township, NJ 08510-8773

Mailing address

2 Abate Dr
Millstone Township, NJ 08510-8773
Phone (732) 662-5946

Other identifiers 2

IdentifierTypeStateIssuer
5639301MedicaidNJ
47993-NON PAROtherNJUHP

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050324000048 NJ Practitioner - Internal Medicine 4284680125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garden State Healthcare Associates LLCGroup PAC ID 8426190687, 171 clinicians

Practice addresses (Care Compare)

29 E 29TH St
Bayonne, NJ 07002-4654

308 Willow Ave
Hoboken, NJ 07030-3808

Hospital & facility affiliations

  • Carepoint Health - Bayonne Medical Center Hospital, Bayonne, NJ, CCN 310025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05369400NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Hospital Opco LLC Current Accepting new patients
Garden State Healthcare Associates, LLC Emergency Medicine CurrentSince Mar 10, 2010 Accepting new patients
Greenville Hospital Emergency Medicine Past Accepting new patients

Locations

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

10 Exchange Pl
Fl 15
Jersey City, NJ 07302
Phone (201) 821-8900

Interoperability endpoints

  • Direct secure messaging: guli.khan@direct.christhospital.md

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 1

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248998400000",
    "number": "1669509741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ABATE DR",
            "city": "MILLSTONE TOWNSHIP",
            "state": "NJ",
            "postal_code": "085108773",
            "telephone_number": "732-662-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ABATE DR",
            "city": "MILLSTONE TOWNSHIP",
            "state": "NJ",
            "postal_code": "085108773",
            "telephone_number": "732-662-5946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "GULI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2009-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA05369400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5639301",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHP",
            "identifier": "47993-NON PAR",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millstone Township, NJ

Sources for this page

Verify at the official NPI Registry.