Individual provider Active NPI

Nikhat P Khan, DMD.AEGD

  • General Practice Dentistry
  • Fort Lee, NJ
National Provider Identifier
1801154497
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22D102526500 Issued in NJ
Practice address
441 Main St
Apt# 4
Fort Lee, NJ 07024-2812
Phone
(607) 339-8818
NPI assigned
May 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 010873 CT
General Practice Dentistry 1223G0001X 22D102526500 NJ Primary

Addresses

Primary practice location

441 Main St
Apt# 4
Fort Lee, NJ 07024-2812

Mailing address

441 Main St
Apt# 4
Fort Lee, NJ 07024-2812
Phone (607) 339-8818

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

State licenses

LicenseStateTypeSpecialty
010873CTMDClinical Social Worker
22D102526500NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1801154497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 MAIN ST",
            "address_2": "APT# 4",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242812",
            "telephone_number": "607-339-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 MAIN ST",
            "address_2": "APT# 4",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242812",
            "telephone_number": "607-339-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "NIKHAT",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DMD.AEGD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010873",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D102526500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.