Maria Khan, MD
Individual provider Active NPI Internal Medicine Physician · South Amboy, NJ
NPI 1962066126 · NPPES record last updated Nov 29, 2022
Key facts
- NPI
- 1962066126
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 25MA11349200 (NJ)
- Practice address
- 5 Parkwood Dr Apt I
South Amboy, NJ 08879-2310 - Phone
- (732) 397-7201
- NPI assigned
- Apr 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- NJ Acute Care Specialists Professional Corporation
Practice addresses (Care Compare)
901 W Main St
Freehold, NJ 07728-2537
Phone (973) 831-5000
Hospital & facility affiliations
- Centrastate Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.17 of 100
- Quality
- 62.57
- Improvement activities
- 40
- Cost
- 70.1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220817002842 | NJ | Practitioner - Internal Medicine | 0648653022 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA11349200 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NJ Acute Care Specialists Professional Corporation | Internal Medicine | Current |
Accepting new patients |
| Centrastate Medical Center, Inc | Past | Accepting new patients |
Locations
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666
1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA11349200 | NJ | Yes |
Addresses
Primary practice location
5 Parkwood Dr Apt I
South Amboy, NJ 08879-2310
Mailing address
901 W Main St
Freehold, NJ 07728-2537
Other providers in South Amboy, NJ
- Rachel Sonia John
- Derek W Jones
- Fadi Kano
- Shahirose Kapadia
- Arthur Karwowski
- Jeanette Kimszal
- Penelope A King
- Ira M Klemons
- Lina Klossek
- KM Medical Supply
All providers in South Amboy, NJ · Internal Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.