Anita Khawaja, BS

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

2000172 Issued in NJ

Practice address

687 Frelinghuysen Ave
Newark, NJ 07114-1334

Phone

(973) 799-0508

NPI assigned

Nov 7, 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1780013953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "687 FRELINGHUYSEN AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071141349",
            "telephone_number": "973-799-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 FRELINGHUYSEN AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071141334",
            "telephone_number": "973-799-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAWAJA",
        "first_name": "ANITA",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NJ",
            "license": "2000172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0062821",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7466200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Priyank Khandelwal, M.D.
• Alexandra Khanyutin
• Amani Ali Fawaz Khasawneh
• Shant Khatchadourian
• Megna Khatri, MD
• Qasim Kaleem Khawaja
• Zaineb Khawar, MD
• Lena Kheir, MD
• Karishma Karim Khetani, MD
• Samir Ahmed Khirie, MD

• Methadone Clinic in Newark, NJ
• Providers in Newark, NJ by specialty
• Methadone Clinic in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.