Active NPIIndividual provider

Ms. Mariam S Khan, PA

Physician Assistant, Medical in East Orange, New Jersey

NPI Number1811708688
Practice location
300 Central Ave, East Orange, NJ 07018-2819
Fax
—
Last updated
September 9, 2026

Mariam Saleem Khan is a Physician Assistant, Medical based in East Orange, NJ. Mariam Saleem Khan practices in East Orange, NJ and has the professional credentials of PA. The NPI Number for Mariam Saleem Khan is 1811708688 and holds a License No. 25MP00907700 (NJ). The current practice location address for Mariam Saleem Khan is 300 Central Ave, East Orange, NJ 07018-2819 and can be reached out via phone at 973-672-8400.

Provider Profile Details

NPI Number
1811708688
Provider Name
Mariam Saleem Khan
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
300 Central Ave, East Orange, NJ 07018-2819
Phone Number
973-672-8400
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
January 20, 2025
Last Update Date
September 9, 2026
Certification Date
September 9, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Central Ave
East Orange, NJ 07018-2819
Zip
07018-2819
Phone Number
973-672-8400
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
11 Cornwall Dr
East Windsor, NJ 08520-1107
City
East Windsor
State
NJ
Zip
08520-1107
Phone Number
201-887-0543

License Information

License Number
25MP00907700
License State
NJ
Taxonomy
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Mariam S Khan, PA?

The NPI number of Ms. Mariam S Khan, PA is 1811708688. It was assigned on January 20, 2025 and is currently active in the NPPES registry.

What is the specialty of Ms. Mariam S Khan, PA?

Ms. Mariam S Khan, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NJ under license number 25MP00907700.

Where does Ms. Mariam S Khan, PA practice?

The practice location is 300 Central Ave, East Orange, NJ 07018-2819. The office can be reached at 973-672-8400 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811708688 directly on the NPPES registry website.

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