Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. MARIAM SALEEM KHAN PA
NPI 1811708688
Physician Assistant - Medical in East Orange, NJ

Active since January 20, 2025PECOS EnrolledAccepts Medicare Assignment
300 CENTRAL AVE, EAST ORANGE, NJ 07018(973) 672-8400 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ms. Mariam Saleem Khan Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARIAM SALEEM KHAN PA (NPI 1811708688) is an individual medical provider in East Orange, New Jersey, licensed in New Jersey (25MP00907700) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Carewell Health Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1811708688
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. MARIAM SALEEM KHANCredential: PA
Location Address300 CENTRAL AVEEast Orange, NJ 07018-2819
Mailing Address11 Cornwall DrEast Windsor, NJ 08520-1107 · (201) 887-0543
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 20, 2025
Last NPPES UpdateSeptember 9, 2026
NPPES CertifiedSeptember 9, 2026
✔ NPI 1811708688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NJ · 25MP00907700
300 CENTRAL AVE, East Orange, NJ 07018

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Mariam Saleem Khan Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153842620
PECOS Enrollment IDI20250313000579
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carewell Health Medical Center

Acute Care Hospitals · East Orange, NJ
1/5 CMS rating
OwnershipProprietary
CMS Certification Number310083
Location300 Central AveEast Orange, NJ 07018 · Essex County
Emergency services

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
300 CENTRAL AVE
EAST ORANGE, NJ 07018
Anesthesiology
300 CENTRAL AVE
EAST ORANGE, NJ 07018
General Acute Care Hospital
300 CENTRAL AVE
EAST ORANGE, NJ 07018
Social Worker
300 CENTRAL AVE
EAST ORANGE, NJ 07018
Psychiatry & Neurology (Psychiatry)
300 CENTRAL AVE
EAST ORANGE, NJ 07018
Emergency Medicine
300 CENTRAL AVE
EAST ORANGE, NJ 07018
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
300 CENTRAL AVE
EAST ORANGE, NJ 07018
Physician Assistant
300 CENTRAL AVE
EAST ORANGE, NJ 07018

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mariam Khan's NPI number?

The NPI number for Mariam Khan is 1811708688. It was assigned to this individual provider in the NPPES registry on January 20, 2025.

Where is Mariam Khan located?

Mariam Khan practices at 300 Central Ave, East Orange, NJ 07018. The listed phone number is (973) 672-8400.

What is Mariam Khan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mariam Khan enrolled in Medicare?

Yes. Mariam Khan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Mariam Khan affiliated with any hospitals?

According to CMS data, Mariam Khan is affiliated with Carewell Health Medical Center.

When was this NPI record last updated?

The NPPES record for Mariam Khan was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.