Active NPI
Samia Khondaker, PA-C
- Physician Assistant
- Flemington, NJ
National Provider Identifier
1447167697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP01046200
- Practice address
- 5 Walter E Foran Blvd Ste 4000
Flemington, NJ 08822-4675 - Phone
- (609) 289-3147
- NPI assigned
- Aug 25, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP01046200 | NJ | Primary |
Addresses
Primary practice location
5 Walter E Foran Blvd Ste 4000
Flemington, NJ 08822-4675
Mailing address
214 Peach Tree LN
Egg Harbor Township, NJ 08234-5257
Phone (609) 289-3147
Other practice location 1
28 Wills Way
Piscataway, NJ 08854-3770
Phone (908) 505-2327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1447167697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 PEACH TREE LN",
"city": "EGG HARBOR TOWNSHIP",
"state": "NJ",
"postal_code": "082345257",
"telephone_number": "609-289-3147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 WALTER E FORAN BLVD STE 4000",
"city": "FLEMINGTON",
"state": "NJ",
"postal_code": "088224675",
"telephone_number": "609-289-3147"
}
],
"practiceLocations": [
{
"address_1": "28 Wills Way",
"address_purpose": "LOCATION",
"city": "Piscataway",
"state": "NJ",
"postal_code": "088543770",
"country_code": "US",
"telephone_number": "908-505-2327",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHONDAKER",
"first_name": "SAMIA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-25",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP01046200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flemington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.