Individual provider Active NPI

Sunniya Khan, M.B, B.S, M.D

  • Internal Medicine Physician
  • East Brunswick, NJ
National Provider Identifier
1992065593
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0099469 Issued in MD
Practice address
10 Auer CT Ste 102
East Brunswick, NJ 08816-5848
Phone
(917) 683-2304
NPI assigned
May 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 25MA09866300 NJ
Internal Medicine Physician 207R00000X D0099469 MD Primary

Addresses

Primary practice location

10 Auer CT Ste 102
East Brunswick, NJ 08816-5848

Mailing address

10 Auer CT Ste 102
East Brunswick, NJ 08816-5848

Other practice location 1

20 Prospect Ave
Pain and Palliative medicine department, suite 602
Hackensack, NJ 07601-1997
Phone (551) 996-2442

Other names 1

  • Dr. Sunniya Khan Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, MD, DC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20160801000212 NJ Practitioner - Pain ManagementPractitioner - Hospice/Palliative Care 1951694751
I20201021002490 NY Practitioner - Hospice/Palliative Care 1951694751 Reassigns benefits to 1 organization
I20240302000051 MD Practitioner - Internal Medicine 1951694751 Reassigns benefits to 2 organizations
I20241114004720 DC Practitioner - Pain ManagementPractitioner - Internal Medicine 1951694751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Medical Group LLC 102 clinicians

Practice addresses (Care Compare)

1205 York Rd
Lutherville, MD 21093-6211
Phone (443) 325-0031

Hospital & facility affiliations

  • Gilchrist Hospice Care, Inc Hospice, Hunt Valley, MD, CCN 211526
  • Accentcare Hospice & Palliative Care of Maryland Hospice, Columbia, MD, CCN 211507
  • Sterling Care Riverside Nursing home, Belcamp, MD, CCN 215233
  • Oakwood SNF LLC Nursing home, Middle River, MD, CCN 215181
  • Sterling Care Forest Hill Nursing home, Forest Hill, MD, CCN 215194
  • St. Elizabeth Rehabilitation & Nursing Center Nursing home, Baltimore, MD, CCN 215044

Merit-based Incentive Payment System (MIPS)

Final score
29.17 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
97.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09866300NJMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Medical Group LLC Internal Medicine CurrentSince Sep 19, 2024 Accepting new patients
Synergy Medical Group LLC Internal Medicine Current Accepting new patients
Apex Healthcare, LLC Internal Medicine CurrentSince Feb 19, 2024 Accepting new patients
Palliative and Transitional Health CurrentSince May 1, 2022 Accepting new patients
Synergy Medical Group LLC Internal Medicine CurrentSince Aug 19, 2024 Accepting new patients
Apex Healthcare, LLC CurrentSince Feb 19, 2024 Accepting new patients
Synergy Medical Group LLC Internal Medicine CurrentSince Aug 19, 2024 Accepting new patients
Integrity Geriatric & Wound Care, LLC CurrentSince Feb 26, 2023 Accepting new patients
Oakwood SNF LLC Past Accepting new patients
St. Elizabeth Opco LLC Past Accepting new patients
Riverside SNF Operator, LLC Past Accepting new patients
Forest Hill SNF Operator LLC Past Accepting new patients

Locations

3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939

299 Hurley Ave
Rockville, MD 20850
Phone (301) 762-8900

1205 York Rd
Ste 11
Timonium, MD 21093
Phone (443) 325-0031

7001 N Charles St
Towson, MD 21204
Phone (410) 269-5100

7801 York Rd
Ste 240
Towson, MD 21204
Phone (410) 323-9214

10 Auer Ct
Ste B
East Brunswick, NJ 08816
Phone (443) 421-6815

10 Auer Ct
Ste 102
East Brunswick, NJ 08816
Phone (917) 683-2304

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lawrence Rehabilitation and Healthcare Center/the Meadows at LawrenceLawrenceville, NJ, CCN 315338 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Feb 1, 2023
Feb 1, 2023
Autumn Lake Healthcare at RuxtonTowson, MD, CCN 215077 Skilled nursing facility Adp of the SNF Dec 1, 2024
St. Elizabeth Rebahilitation and Nursing CenterBaltimore, MD, CCN 215044 Skilled nursing facility Adp of the SNF Mar 10, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

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": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1992065593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 AUER CT STE 102",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 AUER CT STE 102",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165848",
            "telephone_number": "917-683-2304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Prospect Ave",
            "address_2": "Pain and Palliative medicine department, suite 602",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076011997",
            "country_code": "US",
            "telephone_number": "551-996-2442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SUNNIYA",
        "name_prefix": "Dr.",
        "credential": "M.B, B.S, M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-17",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NJ",
            "license": "25MA09866300",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0099469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUNNIYA",
            "last_name": "KHAN",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.