NPIMap

Organization Active NPI

Family Medicine Pediatrics LLC

  • Pediatrics Physician
  • East Orange, NJ
National Provider Identifier
1770668089
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
FAMILY MEDICINE PEDIATRICS LLC
Practice address
310 Central Avenue
Suite 305
East Orange, NJ 07018-2838
Phone
(973) 678-2900
Fax
(973) 678-8183
NPI assigned
Oct 26, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Yash Khanna, MDNPI 1093805012
Title
President
Phone
(973) 678-2901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

310 Central Avenue
Suite 305
East Orange, NJ 07018-2838

Mailing address

310 Central Avenue
Suite 305
East Orange, NJ 07018-2838
Phone (973) 678-2900

National Provider Directory

National Provider Directory

Locations

310 Central Ave
Ste 305
East Orange, NJ 07018
Phone (973) 678-1631

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1770668089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CENTRAL AVENUE",
            "address_2": "SUITE 305",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182838",
            "telephone_number": "973-678-2900",
            "fax_number": "973-678-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CENTRAL AVENUE",
            "address_2": "SUITE 305",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182838",
            "telephone_number": "973-678-2900",
            "fax_number": "973-678-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KHANNA",
        "authorized_official_first_name": "YASH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-678-2901",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.