Ahmed Khattab, MD

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

25MA09622900 Issued in NJ

Practice address

89 French St FL 2
New Brunswick, NJ 08901-1935

Phone

(732) 235-9378

NPI assigned

Jan 5, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rutgers Health-RWJ Scleroderma Program

  • Allergy & Immunology (Internal Medicine) Physician
  • New Brunswick, NJ
  • NPI 1679655781
  Medicare reassignment NPD
• Rutgers Health-RWJ Primary Medicine Group

  • Internal Medicine Physician
  • New Brunswick, NJ
  • NPI 1992887012
  NPD
• Rutgers Health-RWJ Scleroderma Program

  • Pediatric Adolescent Medicine Physician
  • New Brunswick, NJ
  • NPI 1023055738
  NPD
• Rutgers Health-RWJ Scleroderma Program

  • Psychiatry Physician
  • Piscataway, NJ
  • NPI 1033207378
  NPD
• Rutgers Health-RWJ Scleroderma Program

  • Neurology Physician
  • New Brunswick, NJ
  • NPI 1366487183
  NPD
• Rutgers Health-RWJ Scleroderma Program

  • Radiation Oncology Physician
  • New Brunswick, NJ
  • NPI 1942249909
  NPD

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1265736268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829642",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191829642",
            "telephone_number": "866-470-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 FRENCH ST FL 2",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011935",
            "telephone_number": "732-235-9378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Gustave L Levy Pl",
            "address_2": "Box 1200",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10029",
            "country_code": "US",
            "telephone_number": "212-241-4963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHATTAB",
        "first_name": "AHMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-05",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "262661",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NY",
            "license": "262661",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NJ",
            "license": "25MA09622900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rohail Khan, MD
• Shama Khan, MPH, M.S.
• Talha Ehsan Khan, MBBS
• Jobaida Khanom
• Krish Khatri, M.D.
• Viraj Khetani, MD
• Meenakshi Khosla, M.D.
• Divya Khurana, MD
• Shweta Khurana, PA-C
• Michael Theodore Kicenuik, MD

• Pediatric Endocrinology Physician in New Brunswick, NJ
• Providers in New Brunswick, NJ by specialty
• Pediatric Endocrinology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.