Samina Khan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA07950000 Issued in NJ

Practice address

17 Wanaque Avenue
Pompton Lakes, NJ 07442

Phone

(973) 617-1750

Fax

(973) 617-1751

NPI assigned

Mar 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Home Care Inc. Home health agency, Paramus, NJ, CCN 317008
• Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017
• Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
• St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Practice Associates Medical Group

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1427016385
  Medicare reassignment Care Compare group NPD
• Abbassi and Agrama P C

  • Primary Care Clinic/Center
  • West Orange, NJ
  • NPI 1225201684

  Internal Medicine

  NPD (past)
• Ahs Hospital Corp.

  • General Acute Care Hospital
  • Pompton Plains, NJ
  • NPI 1811994809
  NPD (past)
• Central Avenue Professional Services, PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Newark, NJ
  • NPI 1447649694
  NPD (past)
• Consolidated Diagnostic and Imaging PC

  • Cardiovascular Disease Physician
  • West Orange, NJ
  • NPI 1487814885

  Internal Medicine

  NPD (past)
• Saint Michaels Physician Services PC

  • Internal Medicine Physician
  • Newark, NJ
  • NPI 1063791820
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahs Hospital Corp.

  • General Acute Care Hospital
  • Morristown, NJ
  • NPI 1053384776
  Care Compare affiliation
• Ahs Hospital Corp.

  • General Acute Care Hospital
  • Pompton Plains, NJ
  • NPI 1811994809
  Care Compare affiliation
• St Josephs University Medical Center Inc.

  • General Acute Care Hospital
  • Paterson, NJ
  • NPI 1669462420
  Care Compare affiliation
• Valley Home Care, Inc

  • Home Health Agency
  • Paramus, NJ
  • NPI 1174588925
  Care Compare affiliation

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1992764906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WANAQUE AVENUE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "07442",
            "telephone_number": "973-617-1750",
            "fax_number": "973-617-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SAMINA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07950000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0117226",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karl Roman
• Sharon Emily Katz, APN, LCADC
• Barbara Jean Keane, LCSW
• Ryan S Kenney, HEARING AID SPECIALI
• Sean S Kenney, HEARING AID SPECIALI
• James Kierstead
• Edward S Kim, DMD
• Jasmine Melody Knaus
• Rachel Kniewel
• Michael Francis Kowalski, DPM

• Internal Medicine Physician in Pompton Lakes, NJ
• Providers in Pompton Lakes, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.