Active NPI
Khanh P Nguyen, D.M.D
- Dentist
- Freehold, NJ
National Provider Identifier
1891082657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 062993-01
- Practice address
- 3435 Route 9 N Unit 3
Freehold, NJ 07728-3285 - Phone
- (732) 201-8876
- NPI assigned
- Jun 30, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02532000 | NJ | |
| Dentist | 122300000X | 062993-01 | NY | Primary |
Addresses
Primary practice location
3435 Route 9 N Unit 3
Freehold, NJ 07728-3285
Mailing address
3435 Route 9 N Unit 3
Freehold, NJ 07728-3285
Phone (732) 201-8876
Other names 1
- Dr. Khani P Nguyen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151222001058 | NJ | Order and Referring Only - Dentist | 2062713704 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02532000 | NJ | MD | Dentist |
| 062993-01 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Dental of Toms River | General Practice | 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 and National Provider Directory roles.
-
dba Toms River Family Dental
- General Practice Dentistry
- Toms River, NJ
- NPI 1992781249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1891082657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3435 ROUTE 9 N UNIT 3",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077283285",
"telephone_number": "732-201-8876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3435 ROUTE 9 N UNIT 3",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077283285",
"telephone_number": "732-201-8876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KHANH",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-30",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02532000",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "062993-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KHANI",
"last_name": "NGUYEN",
"middle_name": "P",
"prefix": "DR.",
"credential": "D.M.D",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Freehold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.