Tahera Mishal Khan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00691800 Issued in NJ

Practice address

509 Stillwells Corner Rd Ste E5
Freehold, NJ 07728-2965

Phone

(732) 431-3312

NPI assigned

Aug 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tahera Naaz Former name

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

82.81 of 100Reported as group

Quality

88.7

Improvement activities

40

Cost

57.76

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tkhan@gwd.intellechartdirect.net

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.

• Anthony J Boni OD and Alicia N Dorman OD/PA

  • Optometrist
  • Little Falls, NJ
  • NPI 1346344868
  Medicare reassignment NPD
• Freehold Ophthalmology, LLC

  • Ophthalmology Physician
  • Freehold, NJ
  • NPI 1861446932
  Medicare reassignment NPD
• Santamaria Eye Center P a

  • Ophthalmology Physician
  • Edison, NJ
  • NPI 1841425840

  Optometrist

  Medicare reassignment NPD
• New GW LLC

  • Ophthalmology Physician
  • East Brunswick, NJ
  • NPI 1508375353
  NPD
• Santamaria Eye Center P a

  • Ophthalmology Physician
  • Perth Amboy, NJ
  • NPI 1952382871

  Optometrist

  NPD

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1972158798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 UNION HILL RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077261800",
            "telephone_number": "732-567-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 STILLWELLS CORNER RD STE E5",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282965",
            "telephone_number": "732-431-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "TAHERA",
        "middle_name": "MISHAL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00691800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAHERA",
            "last_name": "NAAZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kessler Institute for Rehabilitation Inc
• Rebecca Kestenbaum, LSW
• Alexander Kettles
• Courtney Marie Keville, PA-C
• Shameen Khan, D.O.
• Zeeshan Khan, M.D.
• Amit S Kharod, MD
• Manish Pravin Khetani, M.D
• Kids Dental of NJ
• Sara Kiernan, APN

• Optometrist in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.

Verify at the official NPI Registry.