Individual provider Active NPI

Samia Khondaker, PA-C

  • Physician Assistant
  • Flemington, NJ
National Provider Identifier
1447167697
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP01046200 Issued in NJ
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

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.