Javeria Khan

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02860000 Issued in NJ

Practice address

1312 Centennial Ave # 11
Piscataway, NJ 08854-4324

Phone

(732) 981-1777

NPI assigned

Jul 11, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1588216394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WISTERIA CT",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088543549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 CENTENNIAL AVE # 11",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088544324",
            "telephone_number": "732-981-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "JAVERIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS042357",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02860000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Kershner
• Keystone Community Living, Inc.
• Keystone Community Living, Inc.
• Keystone Community Living, Inc.
• Keystone Community Living, Inc.
• Najm Khan, MD
• Boris Kholdarov, M.D.
• Katharine Kicak
• Axel Kiefer, MD
• Risa Nicole Kiernan, DO

• General Practice Dentistry in Piscataway, NJ
• Providers in Piscataway, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.