Active NPIIndividual provider

Diana Khaitov, PA

Physician Assistant in Belleville, New Jersey

NPI Number1346564028
Practice location
1 Clara Maass Dr, Clara Maass Medical Center, Belleville, NJ 07109-3550
Fax
973-251-1109
Last updated
March 24, 2010

Diana Khaitov is a Physician Assistant based in Belleville, NJ. Diana Khaitov practices in Belleville, NJ and has the professional credentials of PA. The NPI Number for Diana Khaitov is 1346564028 and holds a License No. 25MP00183400 (NJ). The current practice location address for Diana Khaitov is 1 Clara Maass Dr, Clara Maass Medical Center, Belleville, NJ 07109-3550 and can be reached out via phone at 973-450-2000 and via fax at 973-251-1109.

Provider Profile Details

NPI Number
1346564028
Provider Name
Diana Khaitov
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1 Clara Maass Dr, Clara Maass Medical Center, Belleville, NJ 07109-3550
Phone Number
973-450-2000
Fax Number
973-251-1109
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
March 24, 2010
Last Update Date
March 24, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Clara Maass Dr
Clara Maass Medical Center
Belleville, NJ 07109-3550
Zip
07109-3550
Phone Number
973-450-2000
Fax Number
973-251-1109
Belleville, NJ 07109Get directions →

Provider Business Mailing Address Details

Address
Po Box 717
Livingston, NJ 07039-0717
City
Livingston
State
NJ
Zip
07039-0717
Phone Number
800-345-0064
Fax Number
973-251-1109

License Information

License Number
25MP00183400
License State
NJ
Taxonomy
Physician Assistant · 363A00000X · Primary

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 Diana Khaitov, PA?

The NPI number of Diana Khaitov, PA is 1346564028. It was assigned on March 24, 2010 and is currently active in the NPPES registry.

What is the specialty of Diana Khaitov, PA?

Diana Khaitov, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00183400.

Where does Diana Khaitov, PA practice?

The practice location is 1 Clara Maass Dr, Clara Maass Medical Center, Belleville, NJ 07109-3550. The office can be reached at 973-450-2000 (phone) or 973-251-1109 (fax).

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 1346564028 directly on the NPPES registry website.

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