Sonu Khatri

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

26NJ00471300 Issued in NJ

Practice address

1 Harmon PLZ
Secaucus, NJ 07094-2803

Phone

(551) 257-7008

NPI assigned

Nov 12, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: skhatri76840@direct.optum.com

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.

• Am Ricciardi

  • Specialist
  • East Orange, NJ
  • NPI 1073920435
  NPD (past)
• Riverside Medical Group

  • Nurse Practitioner
  • Secaucus, NJ
  • NPI 1053867598
  NPD (past)

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1730519794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 PALISADE AVE FL 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073071791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HARMON PLZ",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942803",
            "telephone_number": "551-257-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATRI",
        "first_name": "SONU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-12",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ00471300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Shimabukuro LLC (Next Step OT)
• Erin M Kelly, DPT
• Ayman Khafagi, MD
• Djavlon A Khakimov, DPM
• Ghassan Khani, M.D.
• Tamara Khmelnitsky, FNP
• Lucy Kim
• Kipnis Orthopaedic Rehab of Secaucus LLC (Kipnis Rehab of Secaucus LLC)
• Kipnis Physical Therapy and Sports Medicine
• Avani Manasa Kolla Patel, MD

• Pediatric Nurse Practitioner in Secaucus, NJ
• Providers in Secaucus, NJ by specialty
• Pediatric Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.