Nadiya Khan

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02587600 Issued in NJ

Practice address

2425 Pennington Rd
Pennington, NJ 08534-5228

Phone

(609) 818-0300

Fax

(609) 818-0500

NPI assigned

Apr 16, 2014

Last updated

Mar 23, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Nadiya Popovych Former name

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": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1720408842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 MASOMA RD",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021427",
            "telephone_number": "732-668-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 PENNINGTON RD",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085345228",
            "telephone_number": "609-818-0300",
            "fax_number": "609-818-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Main St",
            "address_purpose": "LOCATION",
            "city": "Metuchen",
            "state": "NJ",
            "postal_code": "088401800",
            "country_code": "US",
            "telephone_number": "732-902-2828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Rte 27",
            "address_purpose": "LOCATION",
            "city": "North Brunswick",
            "state": "NJ",
            "postal_code": "089021348",
            "country_code": "US",
            "telephone_number": "732-398-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "NADIYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02587600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NADIYA",
            "last_name": "POPOVYCH",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark Keller, MSPT
• Megan Kelley, LPC
• Nicholas Kelley, DMD, MSD
• Laura Kelly, PSY.D.
• Mateen A Khan, MD
• Karambir Khangoora, M.D.
• Abdallah Mohamed Ahmed Khashan, M.D.
• Sehris Khawaja, DO
• Elizabeth Kidney, OTR/L
• Deborah Ann Kimes

• General Practice Dentistry in Pennington, NJ
• Providers in Pennington, 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 Mar 23, 2018; 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.