Aliya Khan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI022823 Issued in NJ

Practice address

1450 Clements Bridge Rd
Deptford, NJ 08096-3067

Phone

(856) 845-6222

Fax

(856) 845-6222

NPI assigned

Nov 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Moorestown Smile Center LLC

  • General Practice Dentistry
  • Moorestown, NJ
  • NPI 1386187714
  NPD Authorized official
• Pathmark Stores Inc

  • Pharmacy
  • Staten Island, NY
  • NPI 1558461590
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1942370143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 CLEMENTS BRIDGE RD",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080963067",
            "telephone_number": "856-845-6222",
            "fax_number": "856-845-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CLEMENTS BRIDGE RD",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080963067",
            "telephone_number": "856-845-6222",
            "fax_number": "856-845-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ALIYA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI022823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mina Kasdalla
• Pawandeep Kaur
• Kelsch Associates Inc. New Jersey
• Kelsch Associates Inc. New Jersey
• Mustajab Khalil, DMD
• Martin A Kitagawa, O.D.
• Stuart Leslie Knauer, RPH
• George Koren, M.ED., LPC, LCADC
• Jeffrey Koslow, D.M.D.
• Fabiana Maria Kreines, MD

• General Practice Dentistry in Deptford, NJ
• Providers in Deptford, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.

Verify at the official NPI Registry.