Steven H Khanjian, L.P.C., & L.C.A.D.C

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00197500 Issued in NJ

Practice address

1172 E Ridgewood Ave Ste 4
Ridgewood, NJ 07450-3928

Phone

(201) 857-5909

Fax

(201) 632-6454

NPI assigned

Jan 18, 2007

Last updated

Jan 5, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546646400000",
    "number": "1063564094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TENAFLY RD UNIT 441",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076707020",
            "telephone_number": "201-857-5909",
            "fax_number": "201-632-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 E RIDGEWOOD AVE STE 4",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503928",
            "telephone_number": "201-857-5909",
            "fax_number": "201-632-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANJIAN",
        "first_name": "STEVEN",
        "middle_name": "H",
        "credential": "L.P.C., & L.C.A.D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2019-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00126800",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00197500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L.C.A.D.C.",
            "identifier": "37LC00126800",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L.P.C.",
            "identifier": "37PC00197500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda J. Kelly, PH.D.
• Adam Scott Kelman, M.D.
• Kelly Kennedy, MSN, RN-BC, NP-C
• Keri Lyn Kennedy
• Thomas Joseph Kersting, LPC
• Khatuna Belov, MD, LLC (Katy Belov, M.D. Family Practice)
• Laura Rolfe Khettry, MS, RDN, CDN
• Denise Kenny Kiernan, MS OTR/L
• Alyssa Kievit, PT, DPT
• Angela Kim

• Professional Counselor in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.