| Samina Khan, MD | |
|
17 Wanaque Avenue, Pompton Lakes, NJ 07442 | |
| (973) 617-1750 | |
| (973) 617-1751 |
| Full Name | Samina Khan |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 39 Years |
| Location | 17 Wanaque Avenue, Pompton Lakes, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992764906 | NPI | - | NPPES |
| 0117226 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA07950000 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Valley Home Care Inc. | Paramus, NJ | Home health agency |
| Chilton Medical Center | Pompton plains, NJ | Hospital |
| Morristown Medical Center | Morristown, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Practice Associates Medical Group | 5890703177 | 1299 |
| Entity Name | Practice Associates Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690 |
| Mailing Address | Practice Location Address |
|---|---|
| Samina Khan, MD Po Box 416457, Boston, MA 02241-6457 Ph: (844) 362-1735 | Samina Khan, MD 17 Wanaque Avenue, Pompton Lakes, NJ 07442 Ph: (973) 617-1750 |
Dr. Timothy Brabston, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 Wanaque Ave, Pompton Lakes, NJ 07442 Phone: 973-839-3333 Fax: 973-839-0580 | |
Dr. Larisa K Gershman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 191 Hamburg Tpke, 2b, Pompton Lakes, NJ 07442 Phone: 973-248-9446 Fax: 973-248-9445 | |
Dr. Fuad Ahmad, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 191 Hamburg Tpke, Suite 2, Pompton Lakes, NJ 07442 Phone: 973-831-6557 Fax: 973-831-6552 |