ANITA KHAWAJA BS NPI 1780013953

NPI Information

NPI: 1780013953
Provider Name: ANITA KHAWAJA, BS
Classification: Clinic/Center - 261QM2800X
Entity Type: Individual

Specialization: Methadone

Address:
687 FRELINGHUYSEN AVE
NEWARK, NJ
ZIP 07114
Phone: (973) 799-0508
Get Directions

Anita Khawaja, BS is a methadone clinic center in Newark, NJ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. Anita Khawaja, BS NPI is 1780013953. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

687 FRELINGHUYSEN AVE
NEWARK, NJ
ZIP 07114-334
Phone: (973) 799-0508

The enumeration date for this NPI number is 11/7/2013 and was last updated on 11/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM2800X	Clinic/Center	Methadone	2000172	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7466200	MEDICAID	NEW JERSEY
2	0062821	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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