Individual provider Active NPI

Kiandokht Keyhanian, M.D.

  • Neurology Physician
  • Wayne, NJ
National Provider Identifier
1508398546
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA12019400 Issued in NJ
Practice address
1044 Route 23 Ste 101
Wayne, NJ 07470-6685
Phone
(201) 359-4618
Fax
(888) 355-8342
NPI assigned
Mar 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 25MA12019400 NJ Primary
Neuro-ophthalmology Physician 207WX0109X 25MA12019400 NJ
Neurology Physician 2084N0400X 286358 MA

Addresses

Primary practice location

1044 Route 23 Ste 101
Wayne, NJ 07470-6685

Mailing address

1044 Route 23 Ste 101
Wayne, NJ 07470-6685
Phone (201) 359-4618

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231108000125 NJ Practitioner - Neurology 5395019392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1044 Route 23
Suite 101
Wayne, NJ 07470-6685
Phone (201) 359-4618

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Oct 6, 2023 Accepting new patients
Neuroalliance LLC Neurology CurrentSince Feb 5, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Oct 6, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients

Locations

725 River Rd
Ste 212
Edgewater, NJ 07020
Phone (201) 282-4667

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

360 Essex St
Ste 303
Hackensack, NJ 07601
Phone (551) 996-3091

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

650 From Rd
Ste 506
Paramus, NJ 07652
Phone (551) 996-1342

255 State Rt 3
Ste 202
Secaucus, NJ 07094
Phone (201) 863-7460

255 Route 3
Ste 202A
Secaucus, NJ 07094
Phone (617) 459-2825

1044 Route 23
Ste 101
Wayne, NJ 07470
Phone (201) 359-4618

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGFIDD/Endpoint/HGFIDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1508398546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 ROUTE 23 STE 101",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706685",
            "telephone_number": "201-359-4618",
            "fax_number": "888-355-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 ROUTE 23 STE 101",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706685",
            "telephone_number": "201-359-4618",
            "fax_number": "888-355-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYHANIAN",
        "first_name": "KIANDOKHT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA12019400",
            "primary": true
        },
        {
            "code": "207WX0109X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": "NJ",
            "license": "25MA12019400",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "286358",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.