Organization Active NPI

Aaa Medical Group LLC

  • Internal Medicine Physician
  • Old Bridge, NJ
National Provider Identifier
1972028942
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
AAA MEDICAL GROUP LLC
Practice address
2477 County Rd 516 Ste 103
Old Bridge, NJ 08857-4603
Phone
(732) 952-8222
Fax
(732) 952-8221
NPI assigned
Aug 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Authorized official

Name
Dr. Rizwana Khan, MDNPI 1154558419
Title
Director
Phone
(732) 952-8222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2477 County Rd 516 Ste 103
Old Bridge, NJ 08857-4603

Mailing address

2477 County Rd 516 Ste 103
Old Bridge, NJ 08857-4603
Phone (732) 952-8222

Other practice location 1

200 Perrine Rd Ste 210
Old Bridge, NJ 08857-2836
Phone (908) 247-0216

Other identifiers 1

IdentifierTypeStateIssuer
0240281MedicaidNJ

Other names 1

  • AAA MEDICAL GROUP Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171229000007 NJ Part B Supplier - Clinic/Group Practice 0749548469 Receives reassigned benefits from 3 practitioners
Practice locations: Old Bridge, NJ

National Provider Directory

National Provider Directory

Locations

2477 Route 516
Ste 103
Old Bridge, NJ 08857
Phone (732) 679-6900

275 John T O Leary Blvd
South Amboy, NJ 08879
Phone (201) 767-0100

Practitioners & affiliated clinicians

Practitioners 3

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": "1502323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1972028942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2477 COUNTY RD 516 STE 103",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088574603",
            "telephone_number": "732-952-8222",
            "fax_number": "732-952-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2477 COUNTY RD 516 STE 103",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088574603",
            "telephone_number": "732-952-8222",
            "fax_number": "732-952-8221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Perrine Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Old Bridge",
            "state": "NJ",
            "postal_code": "088572836",
            "country_code": "US",
            "telephone_number": "908-247-0216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AAA MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-10",
        "last_updated": "2023-04-13",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "RIZWANA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-952-8222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0240281",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AAA MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.