Khidma Khadim Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

KHIDMA KHADIM INC

Practice address

1 Colby Ave Ste 92
Stratford, NJ 08084-1000

Phone

(185) 660-2260

NPI assigned

May 22, 2023

Organization subpart

No

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

Authorized official

Name

Sade Bethea El

Title

Ceo

Phone

(856) 602-2607

Specialties & licenses 5

Addresses

Locations

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1568154268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7595 BOULEVARD AVE STE 92",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081102576",
            "telephone_number": "856-602-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COLBY AVE STE 92",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841000",
            "telephone_number": "185-660-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHIDMA KHADIM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "BETHEA EL",
        "authorized_official_first_name": "SADE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-602-2607"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Umara Khalique, DO
• Imran Ahmad Khan, MD
• Moeez A Khan
• Muhammad Ayaz Khan, DO
• Taqi R Khan, MD
• Peter Killian, MD
• Chelsea Kilmer, LSW
• Julia Kim, MD
• Christine M Kimler, D.O.
• Amy Eileen Kite, PT

• Adult Mental Health Clinic/Center in Stratford, NJ
• Providers in Stratford, NJ by specialty
• Adult Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.