Khaja Tajuddin Faisal, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA08215400 Issued in NJ

Practice address

300 Clocktower Dr
Hamilton, NJ 08690-3010

Phone

(609) 683-3283

Fax

(609) 683-3291

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Psychiatry

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hunterdon Specialty CareGroup PAC ID 4587966601, 94 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hunterdon Medical Center Hospital, Flemington, NJ, CCN 310005
• St Luke'S Warren Hospital Hospital, Phillipsburg, NJ, CCN 310060

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: khaja.faisal.p36@direct.hunterdon.nextgenshare.com

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.

• Hunterdon Specialty Care PC

  • General Practice Physician
  • Flemington, NJ
  • NPI 1306216874
  Medicare reassignment Care Compare group NPD
• Hunterdon Medical Center

  • Psychiatry Physician
  • Flemington, NJ
  • NPI 1629130307
  Medicare reassignment NPD
• Princeton Healthcare Affiliated Physicians PC

  • Internal Medicine Physician
  • Plainsboro, NJ
  • NPI 1518194323
  Medicare reassignment NPD
• Princeton House Provider Group LLC

  • Psychiatry Physician
  • Princeton, NJ
  • NPI 1881078681
  Medicare reassignment NPD
• Hunterdon Medical Center

  • Nephrology Physician
  • Flemington, NJ
  • NPI 1396561577
  NPD
• Hunterdon Specialty Care

  • Foot & Ankle Surgery Podiatrist
  • Lambertville, NJ
  • NPI 1699657619
  NPD
• Princeton Healthcare Affiliated Physicians PC

  • Internal Medicine Physician
  • Princeton, NJ
  • NPI 1770176372
  NPD
• Camden County Health Services Center

  • Psychiatric Hospital
  • Blackwood, NJ
  • NPI 1578559340
  NPD (past)
• Hunterdon Specialty Care, PC

  • Psychiatry Physician
  • Flemington, NJ
  • NPI 1952024309
  NPD (past)
• Princeton Healthcare System, a New Jersey Non-Profit Corporation

  • Psychiatric Hospital Unit
  • Princeton, NJ
  • NPI 1518009588
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hunterdon Medical Center

  • General Acute Care Hospital
  • Flemington, NJ
  • NPI 1922095116
  Care Compare affiliation
• St. Luke'S Warren Hospital, Inc.

  • General Acute Care Hospital
  • Phillipsburg, NJ
  • NPI 1760488266
  Care Compare affiliation

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1366562902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CLOCKTOWER DR",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903010",
            "telephone_number": "609-683-3283",
            "fax_number": "609-683-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CLOCKTOWER DR",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903010",
            "telephone_number": "609-683-3283",
            "fax_number": "609-683-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAISAL",
        "first_name": "KHAJA",
        "middle_name": "TAJUDDIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA08215400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0181463",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Experienced Support Coordination LLC
• Eyestyles Inc
• Jennifer Fabian
• Laura Fahy, OTD, OTR/L
• Fair Medical Services LLC
• Faith Consulting Service Inc
• Family Care Physicians, LLC
• Family Guidance Center Corporation
• Family Guidance Center Corportion
• Family Practice Associates at Hamilton , P.a.

• Psychiatry Physician in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.