Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ummi Kalsoom Khan, MD

Individual provider Internal Medicine Physician · NPI 1750812764

Dr. Ummi Kalsoom Khan, MD is an Internal Medicine in Kingston, New Jersey. Qualified in 2015, 11 years ago. Practices as a sole proprietor, works from 4 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
11
Licensed in
NJ
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4430 Route 27
Kingston, NJ 08528-9613
Phone: (732) 732-4661
Fax: (732) 732-4661
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1 Bay Ave, Montclair, NJ 07042-4837 — (973) 429-6196
  • 1 Capital Way, Pennington, NJ 08534-2520 — (609) 303-4000
  • 750 Brunswick Ave, Trenton, NJ 08638-4143 — (609) 394-6000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25MA10850400 (NJ)

Record details

NPI number1750812764
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 22, 2017
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare