Active NPIIndividual provider

Tatia Khardziani

Nurse Practitioner in Livingston, New Jersey

NPI Number1942164520
Practice location
200 S Orange Ave # 295, Livingston, NJ 07039-5817
Fax
—
Last updated
October 8, 2026

Tatia Khardziani is a Nurse Practitioner based in Livingston, NJ. Tatia Khardziani practices in Livingston, NJ. The NPI Number for Tatia Khardziani is 1942164520 and holds a License No. 26NR23155600 (NJ). The current practice location address for Tatia Khardziani is 200 S Orange Ave # 295, Livingston, NJ 07039-5817 and can be reached out via phone at 201-449-1000.

Provider Profile Details

NPI Number
1942164520
Provider Name
Tatia Khardziani
Provider Entity Type
Individual
Gender
Female
Address
200 S Orange Ave # 295, Livingston, NJ 07039-5817
Phone Number
201-449-1000
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
December 9, 2025
Last Update Date
October 8, 2026
Certification Date
October 8, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 S Orange Ave # 295
Livingston, NJ 07039-5817
Zip
07039-5817
Phone Number
201-449-1000
Livingston, NJ 07039Get directions →

Provider Business Mailing Address Details

Address
200 S Orange Ave # 295
Livingston, NJ 07039-5817
City
Livingston
State
NJ
Zip
07039-5817
Phone Number
201-449-1000

License Information

License Number
26NR23155600
License State
NJ
Taxonomy
Nurse Practitioner · 363L00000X · 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 Tatia Khardziani?

The NPI number of Tatia Khardziani is 1942164520. It was assigned on December 9, 2025 and is currently active in the NPPES registry.

What is the specialty of Tatia Khardziani?

Tatia Khardziani is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in NJ under license number 26NR23155600.

Where does Tatia Khardziani practice?

The practice location is 200 S Orange Ave # 295, Livingston, NJ 07039-5817. The office can be reached at 201-449-1000 (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 1942164520 directly on the NPPES registry website.

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