Active NPI
Khalipa K Oldjohn, BCBA
- Behavior Analyst
- East Windsor, NJ
National Provider Identifier
1770200396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-62059
- Practice address
- 365 Bolton Rd
East Windsor, NJ 08520-5507 - Phone
- (609) 216-8468
- NPI assigned
- Oct 24, 2022
- Last updated
- Oct 24, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-22-62059 | NJ | Primary |
Addresses
Primary practice location
365 Bolton Rd
East Windsor, NJ 08520-5507
Mailing address
365 Bolton Rd
East Windsor, NJ 08520-5507
Phone (609) 216-8468
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All About ABA NJ LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1770200396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 BOLTON RD",
"city": "EAST WINDSOR",
"state": "NJ",
"postal_code": "085205507",
"telephone_number": "609-216-8468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 BOLTON RD",
"city": "EAST WINDSOR",
"state": "NJ",
"postal_code": "085205507",
"telephone_number": "609-216-8468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLDJOHN",
"first_name": "KHALIPA",
"middle_name": "K",
"name_prefix": "Mr.",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-24",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NJ",
"license": "1-22-62059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Windsor, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.