Individual provider Active NPI

Shahana Khan, DC

  • Chiropractor
  • Williamstown, NJ
National Provider Identifier
1992463749
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00787300 Issued in NJ
Practice address
117 Washington Ave Apt C
Williamstown, NJ 08094-1890
Phone
(856) 262-7234
Fax
(856) 629-9226
NPI assigned
Nov 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00787300 NJ Primary

Addresses

Primary practice location

117 Washington Ave Apt C
Williamstown, NJ 08094-1890

Mailing address

117 Washington Ave Apt C
Williamstown, NJ 08094-1890
Phone (856) 262-7234

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231019003147 NJ Practitioner - Chiropractic 8628424173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maycock Chiropractic Associates LLCGroup PAC ID 8325381650, 4 clinicians

Practice addresses (Care Compare)

117 Washington Ave
Suite C
Williamstown, NJ 08094-1817
Phone (856) 262-7234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maycock Chiropractic Associates, LLC Chiropractor CurrentSince Oct 3, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1992463749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 WASHINGTON AVE APT C",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080941890",
            "telephone_number": "856-262-7234",
            "fax_number": "856-629-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 WASHINGTON AVE APT C",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080941890",
            "telephone_number": "856-262-7234",
            "fax_number": "856-629-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHAHANA",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00787300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.