Active NPI
Zaynab Khan
- Psychologist
- East Brunswick, NJ
National Provider Identifier
1679947550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35SI00587300
- Practice address
- 293 State Route 18 # D235
East Brunswick, NJ 08816-1928 - Phone
- (732) 823-9815
- NPI assigned
- Nov 16, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 143038 | NJ | |
| Psychologist | 103T00000X | 35SI00587300 | NJ | Primary |
Addresses
Primary practice location
293 State Route 18 # D235
East Brunswick, NJ 08816-1928
Mailing address
293 State Route 18 # D235
East Brunswick, NJ 08816-1928
Other practice location 1
17 Senior St
New Brunswick, NJ 08901-8534
Phone (848) 932-7884
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 13, 2025 through Jul 13, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 143038 | NJ | MD | Psychologist |
| 35SI00587300 | NJ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623024000000",
"number": "1679947550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "293 STATE ROUTE 18 # D235",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088161928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "293 STATE ROUTE 18 # D235",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088161928",
"telephone_number": "732-823-9815"
}
],
"practiceLocations": [
{
"address_1": "17 Senior St",
"address_purpose": "LOCATION",
"city": "New Brunswick",
"state": "NJ",
"postal_code": "089018534",
"country_code": "US",
"telephone_number": "848-932-7884",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "ZAYNAB",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-16",
"last_updated": "2021-06-07",
"certification_date": "2021-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "143038",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "35SI00587300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.