Paulina Reiban Khanna, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00776700 Issued in NJ

Practice address

21 S Spring Valley Rd
Paramus, NJ 07652-2624

Phone

(201) 712-9113

NPI assigned

May 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Canadian Memorial Chiropractic College, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sportsmed PT LLCGroup PAC ID 0749535805, 183 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Sportsmed PT LLC

  • Physical Therapist
  • Glen Rock, NJ
  • NPI 1841787645

  Chiropractor

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1497320733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7912 RIVER RD APT 411",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476292",
            "telephone_number": "201-367-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 S SPRING VALLEY RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522624",
            "telephone_number": "201-712-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIBAN KHANNA",
        "first_name": "PAULINA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012772",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00776700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruben B. Razon, R.N.
• Readyscrip LLC
• Leslie Joy Rebarber, CNM
• Red Oak Centers, LLC
• Srikanth Madadi Reddy, M.D
• Jennifer Reid, LCSW
• Andrea Jill Rein, APN
• Emma Reininga
• Nicole Reinoso Duque
• Monika Schule Reisenauer, MSN, APRN, NNP-BC

• Chiropractor in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.