Kaniz Fatima Khan-Jaffery, MD

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

25MA0799060 Issued in NJ

Practice address

3069 English Creek Ave
#203
Egg Harbor Township, NJ 08234-9708

Phone

(609) 377-8516

Fax

(609) 377-8520

NPI assigned

Nov 22, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Atlantic Physicians &Surgeons PA.

  • Specialist
  • Vineland, NJ
  • NPI 1316964059
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1629143979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1064",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082326064",
            "telephone_number": "609-377-8516",
            "fax_number": "609-377-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3069 ENGLISH CREEK AVE",
            "address_2": "#203",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082349708",
            "telephone_number": "609-377-8516",
            "fax_number": "609-377-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN-JAFFERY",
        "first_name": "KANIZ",
        "middle_name": "FATIMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07990600",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NJ",
            "license": "25MA0799060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "25MA07990600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jallah Mans Kennedy
• Kendra Kent
• Carrie Kern, D.O.
• Karen Frances Kerr, LPC, LCADC, NCC
• Barry Mark Kessler, MD
• Abeera A Khan, M.D
• Amal Khan
• Colleen Khatiwala, MD
• Tania Khullar, DPT
• Audrey Charlotte Kingman, CNM

• Pain Medicine Physician in Egg Harbor Township, NJ
• Providers in Egg Harbor Township, NJ by specialty
• Pain Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.