ASIM H KHAN (NPI# 1174780100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174780100 |
| Entity Type | Individual |
| Full Name | ASIM H KHAN |
| Credential | M.D. |
| Practice Address |
1919 Greentree Rd Cherry Hill NJ 08003-1115 |
| Mailing Address |
200 Walt Whitman Ave Mount Laurel NJ 08054-1118 |
| Practice Telephone | 8565771435 |
| Practice Fax Number | 8567806219 |
| Mailing Telephone | 8565771435 |
| Mailing Fax Number | 8567806219 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2020-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 25MA08401600 | NJ | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
25MA08401600 | NJ | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
25MA08401600 | NJ | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
25MA08401600 | NJ | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
25MA08401600 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | TAX ID | 222041639 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1060 Broad St, Newark, NJ 071022397 | 8565771435 | 8567806219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467995399 | Asim Nisar Khan | Anesthesiology | 2 Hillcrest Ave, Montvale, NJ 07645-2228 | 2016-11-26 |
| 1538523725 | Asim Ali Khan | Internal Medicine | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2016-04-13 |
| 1538426770 | Asim Khan | Anesthesiology | 428 S Gilbert Rd Ste 115, Gilbert, AZ 85296-2262 | 2012-04-12 |
| 1669662151 | Asim Khan | Physical Medicine & Rehabilitation | 2045 S Vineyard, Suite 131, Mesa, AZ 85210-6889 | 2007-07-31 |
| 1073557641 | Asim Said Khan | Internal Medicine | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369-4768 | 2006-06-15 |
| Street Address |
1919 GREENTREE RD |
| City | CHERRY HILL |
| State | NJ |
| Zip Code | 08003-1115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124090402 | Anthony C Carabasi | Chiropractor | 1919 Greentree Rd, Suite A, Cherry Hill, NJ 08003-1112 | 2006-02-02 |
| 1952935645 | Aesthetics Vein & Pain Mgmt LLC | Chiropractor | 1919 Greentree Rd, Cherry Hill, NJ 08003-1115 | 2020-03-03 |
| 1902442064 | South Jersey Wellness Group | Chiropractor | 1919 Greentree Rd, Cherry Hill, NJ 08003-1115 | 2019-11-25 |
| 1992201313 | Anesthesia Professionals, Pa | Chiropractor | 1919 Greentree Rd, Cherry Hill, NJ 08003-1115 | 2018-04-04 |
| 1760723316 | Dr. Anthony Corrado, LLC | Otolaryngology | 1919 Greentree Rd, Ste C, Cherry Hill, NJ 08003-1115 | 2013-03-06 |
| 1164772364 | Philadelphia Injury Center LLC | Chiropractor | 1919 Greentree Rd, A, Cherry Hill, NJ 08003-1115 | 2012-09-14 |
| 1396006565 | Greentree Healthcare Associates LLC | Family Medicine | 1919 Greentree Rd, Suite A, Cherry Hill, NJ 08003-1115 | 2012-06-05 |
| 1902163777 | Pennsylvania Health & Wellness Center | Chiropractor | 1919 Greentree Rd, Cherry Hill, NJ 08003-1115 | 2012-04-18 |
| 1821386665 | Charles Joseph Bachi Iv | Physical Therapist | 1919 Greentree Rd, Suite B, Cherry Hill, NJ 08003-1115 | 2011-07-14 |
| 1922318674 | Katrina L Guzzetti | Occupational Therapist | 1919 Greentree Rd, Suite C, Cherry Hill, NJ 08003-1115 | 2010-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528695483 | Yvonne Lee | Registered Nurse | Nbn Group, 2 Pin Oak Lane, Suite 250, Cherry Hill, NJ 08003 | 2020-03-23 |
| 1639717945 | Nancy Sue Epstein | Occupational Therapist | 1817 E. Fireside Court -tools for Healing LLC, Cherry Hill, NJ 08003 | 2019-12-17 |
| 1346885126 | Martin Igoe | Nurse Practitioner | 1865 Rt 70 East, Cherry Hill, NJ 08003 | 2019-11-15 |
| 1881242840 | Emily Lott | Nurse Practitioner | 1865 Rte 70 E, Cherry Hill, NJ 08003 | 2019-09-03 |
| 1417502378 | Periodontal Consultants, Pa | Dentist | 1910 East Marlton Pike, The Atrium Suite #2, Cherry Hill, NJ 08003 | 2019-08-07 |
| 1497229439 | Laura Marozzi | Lactation Consultant, Non-RN | 7 Summer Pl, Cherry Hill, NJ 08003 | 2019-01-12 |
| 1104328319 | Amanda Butto | Counselor | 1930 Marlton Pike E Ste T, Cherry Hill, NJ 08003 | 2018-03-03 |
| 1073043857 | Sara Cox | Behavioral Analyst | 425 Old Orchard Road, Cherry Hill, NJ 08003 | 2017-06-14 |
| 1912433731 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 527 Balsam Rd, Cherry Hill, NJ 08003 | 2017-05-11 |
| 1366978181 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 102 Evans Lane, Cherry Hill, NJ 08003 | 2017-05-11 |
| Find all providers in zip 08003 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407002124 | Advanced Spine and Pain, LLC | Pain Medicine | 1030 North Kings Highway, Suite 200, Cherry Hill, NJ 08034-1907 | 2008-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841802220 | Spine & Pain Institute of New Jersey | Pain Medicine | 757 Route 202-206, Suite 104, Bridgewater, NJ 08807-0880 | 2020-08-18 |
| 1225680796 | Nj Interventional Pain Management LLC | Pain Medicine | 560 Hudson St Ste 301, Hackensack, NJ 07601-6655 | 2019-07-15 |
| 1780246017 | Premier Pain Centers, LLC | Pain Medicine | 1430 Hooper Ave Ste 205, Toms River, NJ 08753-2895 | 2019-07-08 |
| 1083271134 | Us Functional, LLC | Pain Medicine | 813 E Gate Dr Ste C, Mount Laurel, NJ 08054-1238 | 2019-05-23 |
| 1770043515 | Healthcare Pain Centers LLC | Pain Medicine | 362 Us Highway 9 Unit 203, Englishtown, NJ 07726-9224 | 2019-03-20 |
| 1780165829 | Premier Pain Centers, LLC. | Pain Medicine | 561 Cranbury Rd Ste 1, East Brunswick, NJ 08816-5400 | 2018-08-27 |
| 1063993103 | Premier Pain Centers, LLC. | Pain Medicine | 150 Chambers Bridge Rd Ste 201, Brick, NJ 08723-3491 | 2018-08-27 |
| 1720592942 | Pain Associates of Bergen County LLC | Pain Medicine | 294 State Street, Suite 2, Hackensack, NJ 07601 | 2017-11-27 |
| 1811421696 | Precision Spine & Sports Medicine Inc | Pain Medicine | 1346 How Ln Ste 107, North Brunswick, NJ 08902-1728 | 2017-04-18 |
| 1063879971 | Central Pain and Wellness | Pain Medicine | 725 Mill St, Moorestown, NJ 08057-1803 | 2016-01-22 |
| Find all providers with the same taxonomy | ||||
| City | CHERRY HILL |
| Zip Code | 08003 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.