Organization Active NPI

Wasim Khan MD MPH Corporation

  • Research Study Specialist
  • Parsippany, NJ
National Provider Identifier
1740641935
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Study SpecialistTaxonomy code 1744R1102X
Legal business name
WASIM KHAN MD MPH CORPORATION
Practice address
19 Jillian Blvd
Parsippany, NJ 07054-3443
Phone
(973) 585-7052
NPI assigned
Mar 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Authorized official

Name
Dr. Wasim Khan
Title
Ceo
Phone
(862) 812-0514

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171W00000X
Research Study SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1744R1102X Primary
Research Study Abstracter/CoderGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1744R1103X
Research Clinic/Center 261QR1100X

Addresses

Primary practice location

19 Jillian Blvd
Parsippany, NJ 07054-3443

Mailing address

19 Jillian Blvd
Parsippany, NJ 07054-3443

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1740641935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 JILLIAN BLVD",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070543443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 JILLIAN BLVD",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070543443",
            "telephone_number": "973-585-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASIM KHAN MD MPH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "WASIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "862-812-0514",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1744R1102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist, Research Study",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1744R1103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist, Research Data Abstracter/Coder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.