Active NPI
Daniel Mohsin Khan, MD
- Family Medicine Physician
- Jersey City, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA11803500
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA11803500 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennedy Medical Group P.C. | Current | Accepting new patients | |
| Kennedy Medical Group Practice PC | Family Medicine | Current | Accepting new patients |
| Vanguard Medical Group, PA | Family Medicine | Current | Accepting new patients |
| Primary Care for the Homebound PA | Family Medicine | Current | 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
- https://api.platform.athenahealth.com/25493/brand/1/csg/1/fhir/r4
- 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.
-
- Family Medicine Physician
- Voorhees, NJ
- NPI 1952726796
-
- Psychologist
- Voorhees, NJ
- NPI 1609314004
-
- Family Medicine Physician
- Sewell, NJ
- NPI 1952848905
-
- Family Medicine Physician
- Verona, NJ
- NPI 1073674412
-
- Family Medicine Physician
- Edgewater, NJ
- NPI 1275362105
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pompton Plains, NJ
- NPI 1811994809
-
- General Acute Care Hospital
- Stratford, NJ
- NPI 1386746592
-
- General Acute Care Hospital
- Paterson, NJ
- NPI 1669462420
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.