Active NPIIndividual providerSole proprietor

Khadijah Friday

Student in an Organized Health Care Education/Training Program in South Orange, New Jersey

NPI Number1124980099
Practice location
400 S Orange Ave, South Orange, NJ 07079-2646
Fax
—
Last updated
December 1, 2025

Khadijah Friday is a Student in an Organized Health Care Education/Training Program based in South Orange, NJ. Khadijah Friday practices in South Orange, NJ. The NPI Number for Khadijah Friday is 1124980099 and holds a License No. 26NR26990400 (NJ). The current practice location address for Khadijah Friday is 400 S Orange Ave, South Orange, NJ 07079-2646 and can be reached out via phone at 973-761-9000.

Provider Profile Details

NPI Number
1124980099
Provider Name
Khadijah Friday
Provider Entity Type
Individual
Gender
Female
Address
400 S Orange Ave, South Orange, NJ 07079-2646
Phone Number
973-761-9000
Sole Proprietor
Yes
Provider Enumeration Date
December 1, 2025
Last Update Date
December 1, 2025
Certification Date
December 1, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 S Orange Ave
South Orange, NJ 07079-2646
Zip
07079-2646
Phone Number
973-761-9000
South Orange, NJ 07079Get directions →

Provider Business Mailing Address Details

Address
400 S Orange Ave
South Orange, NJ 07079-2646
City
South Orange
State
NJ
Zip
07079-2646

License Information

License Number
26NR26990400
License State
NJ

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Khadijah Friday?

The NPI number of Khadijah Friday is 1124980099. It was assigned on December 1, 2025 and is currently active in the NPPES registry.

What is the specialty of Khadijah Friday?

Khadijah Friday is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in NJ under license number 26NR26990400.

Where does Khadijah Friday practice?

The practice location is 400 S Orange Ave, South Orange, NJ 07079-2646. The office can be reached at 973-761-9000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124980099 directly on the NPPES registry website.

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