Kamlesh Khanna, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MA27757 Issued in NJ

Practice address

401 Ridgewood Ave
Glen Ridge, NJ 07028

Phone

(973) 748-6470

Fax

(973) 748-1834

NPI assigned

Mar 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Khanna Nephrology, L.L.C.

  • Nephrology Physician
  • Glen Ridge, NJ
  • NPI 1548590698
  NPD (past)
• Khanna Pediatrics, LLC

  • Pediatrics Physician
  • Glen Ridge, NJ
  • NPI 1275771503
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487782579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 RIDGEWOOD AVE",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "07028",
            "telephone_number": "973-748-6470",
            "fax_number": "973-748-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 RIDGEWOOD AVE",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "07028",
            "telephone_number": "973-748-6470",
            "fax_number": "973-748-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANNA",
        "first_name": "KAMLESH",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA27757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khaula Khalid, DO
• Mazin Khalid, MD
• Khanna Nephrology, L.L.C.
• Khanna Pediatrics, LLC
• Anisha Khanna, D.O.
• Martine Kieffer, LCSW
• Samuel Kim, MD
• Sung T. Kim, M.D.
• Dusan Knezevic, MD
• Brian Koch

• Pediatrics Physician in Glen Ridge, NJ
• Providers in Glen Ridge, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.