Active NPI
Sohaila Khan, MD
- Pediatrics Physician
- Parlin, NJ
National Provider Identifier
1669541264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MA70922
- Practice address
- 11 Burlew PL
Parlin, NJ 08859-1826 - Phone
- (732) 316-5444
- Fax
- (732) 316-0001
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MA70922 | NJ | Primary |
Addresses
Primary practice location
11 Burlew PL
Parlin, NJ 08859-1826
Mailing address
11 Burlew PL
Parlin, NJ 08859-1826
Phone (732) 316-5444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8450404 | Medicaid | NJ |
Other names 1
- Miss Sohaila Anjum
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA70922 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sohaila Khan MD PC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Parlin, NJ
- NPI 1386713915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239840000000",
"number": "1669541264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 BURLEW PL",
"city": "PARLIN",
"state": "NJ",
"postal_code": "088591826",
"telephone_number": "732-316-5444",
"fax_number": "732-316-0001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 BURLEW PL",
"city": "PARLIN",
"state": "NJ",
"postal_code": "088591826",
"telephone_number": "732-316-5444",
"fax_number": "732-316-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "SOHAILA",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2009-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "MA70922",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8450404",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SOHAILA",
"last_name": "ANJUM",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Parlin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.