Khalid Sadrul Anam, M.D.
Individual provider Active NPI Pediatrics Physician · Montclair, NJ
NPI 1669882452 · NPPES record last updated Jan 7, 2026
Key facts
- NPI
- 1669882452
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 25MA10155000 (NJ)
- Practice address
- 314-316 Orange Road
Montclair, NJ 07042 - Phone
- (862) 213-0769
- NPI assigned
- May 1, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10155000 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tribeca Pediatrics, PLLC | Past | Accepting new patients | |
| Englewood Hospital and Medical Center | Past | Accepting new patients | |
| Tribeca Pediatrics | Pediatrics | Past |
Accepting new patients |
Interoperability endpoints
- kanam77174@direct.optum.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA10155000 | NJ | Yes |
Addresses
Primary practice location
314-316 Orange Road
Montclair, NJ 07042
Mailing address
314-316 Orange Road
Tribeca Pediatrics
Montclair, NJ 07042
Phone (862) 213-0769
Other practice location 1
9 McWilliams Pl
Jersey City, NJ 07302-1609
Phone (201) 706-7175
Other providers in Montclair, NJ
- Alyson Slutzky, MSW, LCSW, LLC
- Sandy Alzubi
- Ambrosius Counseling and Wellness
- Allison Amill
- Amy Palfrey, Inc
- Ancient Song, Inc.
- Christina Andino
- Andrea Cacciarelli MD LLC
- Jessica Lynn Andresini
- Tyler Andriopoulos
All providers in Montclair, NJ · Pediatrics Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.