ANITA KHAWAJA (NPI# 1780013953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780013953 |
| Entity Type | Individual |
| Full Name | ANITA KHAWAJA |
| Credential | BS |
| Practice Address |
687 Frelinghuysen Ave Newark NJ 07114-1334 |
| Mailing Address |
687 Frelinghuysen Ave Newark NJ 07114-1349 |
| Practice Telephone | 9737990508 |
| Mailing Telephone | 9737990508 |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-11-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
2000172 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7466200 | 05 | |
| NJ | 0062821 | 05 |
| Street Address |
687 FRELINGHUYSEN AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07114-1334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841228830 | Lorraine Wolfson | Registered Nurse | 687 Frelinghuysen Ave, American Habitare and Counseling Inc, Newark, NJ 07114-1349 | 2006-06-29 |
| 1366062101 | Miguel Mateo | Psychologist | 687 Frelinghuysen Ave, Newark, NJ 07114-1349 | 2020-04-22 |
| 1215407887 | Sarina Lara Lentini | Counselor | 687 Frelinghuysen Ave, Newark, NJ 07114 | 2018-11-27 |
| 1760812721 | American Habitare and Counseling, Inc. | Clinic/Center | 687 Frelinghuysen Ave, Newark, NJ 07114-1334 | 2013-11-12 |
| 1720334311 | American Habitare and Counseling, Inc. | Clinic/Center | 687 Frelinghuysen Ave, Newark, NJ 07114-1349 | 2012-08-01 |
| 1043532542 | Doreen Marion Taylor-speller | Counselor | 687 Frelinghuysen Ave, 1st Floor, Newark, NJ 07114-1349 | 2010-02-24 |
| 1942324579 | American Habitare and Counseling, Inc. | Clinic/Center | 687 Frelinghuysen Ave, Newark, NJ 07114-1334 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417288 | Ariane Monique Chua Dequina | Registered Nurse | 340 Airis Drive, Newark, NJ 07114 | 2020-11-04 |
| 1235746553 | Ellen Smith | Nurse Practitioner | 340 Airis Dr., Suite 203, Newark, NJ 07114 | 2020-09-30 |
| 1760097018 | Joslainez Gonzalo | Social Worker | 47 Miller Street, Newark, NJ 07114 | 2020-09-14 |
| 1497116156 | Berdine Macasero | Nurse Practitioner | Newark Liberty Airport, Terminal C, Room #136, Newark, NJ 07114 | 2016-03-09 |
| 1164813218 | Eugene F Vane Jr. | Dentist | 168 Frontage Road, Newark, NJ 07114 | 2015-02-11 |
| 1356769277 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 258-380 Verona Avenue, Newark, NJ 07114 | 2014-03-29 |
| 1871886549 | Debora Gildin | Nurse Practitioner | Continental Airline's Take-care Health Center, Newark International Airport Terminal C, Suite 136, Newark, NJ 07114 | 2011-05-27 |
| 1871890079 | Ewr Medport | Clinic/Center | 339 Brewster Rd, Ste 201, Newark, NJ 07114 | 2011-02-24 |
| 1023331337 | Jeffrey Witz | Chiropractor | Newark Liberty International Airport, Bldg 339 Ste 201, Newark, NJ 07114 | 2010-03-02 |
| 1073794244 | Amelita Escalona Canubida | Nurse Practitioner | Newark International Airport, Terminal C, Room 136, Newark, NJ 07114 | 2007-11-16 |
| Find all providers in zip 07114 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760812721 | American Habitare and Counseling, Inc. | Clinic/Center | 687 Frelinghuysen Ave, Newark, NJ 07114-1334 | 2013-11-12 |
| 1720334311 | American Habitare and Counseling, Inc. | Clinic/Center | 687 Frelinghuysen Ave, Newark, NJ 07114-1349 | 2012-08-01 |
| 1942324579 | American Habitare and Counseling, Inc. | Clinic/Center | 687 Frelinghuysen Ave, Newark, NJ 07114-1334 | 2007-03-19 |
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|---|---|---|---|---|
| 1043847304 | Monmouth Healthcare Services, LLC | Clinic/Center | 495 Jack Martin Blvd Ste 6, Brick, NJ 08724-7778 | 2020-03-26 |
| 1295370849 | Resource Center for The Chemically Dependent, Inc. | Clinic/Center | 124 Hampton House Rd, Newton, NJ 07860-2804 | 2019-11-07 |
| 1427602960 | Bravo Medical, LLC | Clinic/Center | 10 Somerdale Square 1200 South White Horse Pike, Somerdale, NJ 08083-1345 | 2019-08-01 |
| 1295294668 | Pinnacle Treatment Centers Nj IIi LLC | Clinic/Center | 3444 Quakerbridge Rd Bldg 1a, Hamilton, NJ 08619-1204 | 2019-03-15 |
| 1740748193 | Pinnacle Treatment Centers Nj IIi LLC | Clinic/Center | 3444 Quakerbridge Road, Quakerbridge Plaza, Building 1a, Suite 100, Hamilton, NJ 08690 | 2019-03-05 |
| 1386101483 | Trenton Healthcare, LLC | Clinic/Center | 670 Route 1 N, Iselin, NJ 08830-2629 | 2019-02-25 |
| 1609386135 | Pinnacle Treatment Centers Nj IIi LLC | Clinic/Center | 1051 W Sherman Ave Bldg 4, Vineland, NJ 08360-6931 | 2017-10-11 |
| 1972855575 | Spectrum Health Care, Inc. | Clinic/Center | 74 Pacific Ave, Jersey City, NJ 07304-3216 | 2012-10-05 |
| 1962712398 | Middletown Medical, LLC | Clinic/Center | 600 Hwy 35, Red Bank, NJ 07701-5018 | 2010-10-19 |
| 1578725867 | Addiction Recovery Systems Somers Point LLC | Clinic/Center | 408 Bethel Rd Bldg B, Somers Point, NJ 08244-2172 | 2008-06-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.