Active NPIIndividual provider

Shivani Khetani, MD

Internal Medicine, Endocrinology, Diabetes & Metabolism in Fair Lawn, New Jersey

NPI Number1639793540
Practice location
22-18 Broadway Ste 201, Fair Lawn, NJ 07410-3016
Fax
—
Last updated
July 18, 2025

Shivani Khetani is an Internal Medicine, Endocrinology, Diabetes & Metabolism based in Fair Lawn, NJ. Shivani Khetani practices in Fair Lawn, NJ and has the professional credentials of MD. The NPI Number for Shivani Khetani is 1639793540 and holds a License No. UTRESIDENT (TN). The current practice location address for Shivani Khetani is 22-18 Broadway Ste 201, Fair Lawn, NJ 07410-3016 and can be reached out via phone at 862-297-9696.

Provider Profile Details

NPI Number
1639793540
Provider Name
Shivani Khetani
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
22-18 Broadway Ste 201, Fair Lawn, NJ 07410-3016
Phone Number
862-297-9696
Sole Proprietor
No
Provider Enumeration Date
June 5, 2020
Last Update Date
July 18, 2025
Certification Date
July 18, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
22-18 Broadway Ste 201
Fair Lawn, NJ 07410-3016
Zip
07410-3016
Phone Number
862-297-9696
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
1225 Mcbride Ave
Woodland Park, NJ 07424-3812
City
Woodland Park
State
NJ
Zip
07424-3812
Phone Number
973-812-0377

License Information

License Number (1)
UTRESIDENT
License State (1)
TN
License Number (3)
25MA12757900
License State (3)
NJ
Taxonomy (3)
Internal Medicine, Endocrinology, Diabetes & Metabolism · 207RE0101X · 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 Shivani Khetani, MD?

The NPI number of Shivani Khetani, MD is 1639793540. It was assigned on June 5, 2020 and is currently active in the NPPES registry.

What is the specialty of Shivani Khetani, MD?

Shivani Khetani, MD is registered under the primary taxonomy Internal Medicine, Endocrinology, Diabetes & Metabolism (code 207RE0101X), licensed in TN under license number UTRESIDENT.

Where does Shivani Khetani, MD practice?

The practice location is 22-18 Broadway Ste 201, Fair Lawn, NJ 07410-3016. The office can be reached at 862-297-9696 (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 1639793540 directly on the NPPES registry website.

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