Individual provider Active NPI

Daniel Mohsin Khan, MD

  • Family Medicine Physician
  • Jersey City, NJ
National Provider Identifier
1912535360
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA11803500 Issued in NJ
Practice address
127 Montgomery St
Jersey City, NJ 07302-3616
Phone
(201) 431-7200
Fax
(833) 488-1215
NPI assigned
Mar 31, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA11803500 NJ Primary

Addresses

Primary practice location

127 Montgomery St
Jersey City, NJ 07302-3616

Mailing address

271 Grove Ave Ste E
Verona, NJ 07044-1730
Phone (973) 559-3700

Other practice location 1

1114 Goffle Rd Ste 104
Hawthorne, NJ 07506-2014
Phone (973) 636-9000

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
I20230616001621 NJ Practitioner - Internal Medicine 6305204736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

18 E Laurel Rd
Stratford, NJ 08084-1327
Phone (856) 513-4124

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11803500NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kennedy Medical Group P.C. CurrentSince Mar 16, 2026 Accepting new patients
Kennedy Medical Group Practice PC Family Medicine CurrentSince Mar 16, 2026 Accepting new patients
Vanguard Medical Group, PA Family Medicine CurrentSince Mar 19, 2024 Accepting new patients
Primary Care for the Homebound PA Family Medicine CurrentSince Mar 19, 2024 Accepting new patients
Meridian Medical Group - Specialty Care, PC Family Medicine Past Accepting new patients

Locations

2201 Chapel Ave W
Cherry Hill, NJ 08002
Phone (856) 488-6500

457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091

1114 Goffle Rd
Ste 104
Hawthorne, NJ 07506
Phone (973) 636-9000

1114 Goffle Rd
Hawthorne, NJ 07506
Phone (973) 423-1364

127 Montgomery St
Ofc
Jersey City, NJ 07302

127 Montgomery St
Jersey City, NJ 07302
Phone (201) 431-7200

18 E Laurel Rd
Stratford, NJ 08084
Phone (856) 346-6000

271 Grove Ave
Ste A
Verona, NJ 07044
Phone (973) 239-2600

271 Grove Ave
Ste E
Verona, NJ 07044
Phone (973) 559-3700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25493/brand/1/csg/1/fhir/r4
  • Direct secure messaging: daniel.khan.1@25493.direct.athenahealth.com

Organizations & group practices 6

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 3

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": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1912535360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 GROVE AVE STE E",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441730",
            "telephone_number": "973-559-3700",
            "fax_number": "833-484-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 MONTGOMERY ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023616",
            "telephone_number": "201-431-7200",
            "fax_number": "833-488-1215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1114 Goffle Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Hawthorne",
            "state": "NJ",
            "postal_code": "075062014",
            "country_code": "US",
            "telephone_number": "973-636-9000",
            "fax_number": "833-493-1245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "DANIEL",
        "middle_name": "MOHSIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA11803500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.