Organization Active NPI

Iqbal and Khan Surgical Associates PA

  • Surgery Physician
  • Bridgeton, NJ
National Provider Identifier
1801987086
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
IQBAL AND KHAN SURGICAL ASSOCIATES PA
Practice address
10 Magnolia Ave
Ste E
Bridgeton, NJ 08302
Phone
(856) 455-2399
Fax
(856) 451-7791
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Dr. Nauveed Iqbal, MD
Title
President
Phone
(856) 455-2399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

10 Magnolia Ave
Ste E
Bridgeton, NJ 08302

Mailing address

10 Magnolia Ave
Ste E
Bridgeton, NJ 08302
Phone (856) 455-2399

Other identifiers 1

IdentifierTypeStateIssuer
3086305MedicaidNJ

National Provider Directory

National Provider Directory

Locations

1206 W Sherman Ave
#2
Vineland, NJ 08360
Phone (856) 696-9933

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1801987086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MAGNOLIA AVE",
            "address_2": "STE E",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "08302",
            "telephone_number": "856-455-2399",
            "fax_number": "856-451-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MAGNOLIA AVE",
            "address_2": "STE E",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "08302",
            "telephone_number": "856-455-2399",
            "fax_number": "856-451-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IQBAL AND KHAN SURGICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "IQBAL",
        "authorized_official_first_name": "NAUVEED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-455-2399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3086305",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.