| Shaza Khatib, | |
|
357 Prospect Ave, Hackensack, NJ 07601-2519 | |
| (551) 309-3555 | |
| (833) 775-0075 |
| Full Name | Shaza Khatib |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 357 Prospect Ave, Hackensack, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639945942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NJ15169200 (New Jersey) | Primary |
| 163WM0705X | Registered Nurse - Medical-surgical | 26NR19673500 (New Jersey) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clifton Medical Clinic Inc | 3274942487 | 3 |
| Entity Name | Passaic Medical Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184811390 PECOS PAC ID: 0446472955 Enrollment ID: O20141118002527 |
| Entity Name | Clifton Medical Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356936611 PECOS PAC ID: 3274942487 Enrollment ID: O20210429000104 |
| Entity Name | Infinite Medical PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407483175 PECOS PAC ID: 8325477656 Enrollment ID: O20210630000934 |
| Mailing Address | Practice Location Address |
|---|---|
| Shaza Khatib, 357 Prospect Ave, Hackensack, NJ 07601-2519 Ph: (551) 309-3555 | Shaza Khatib, 357 Prospect Ave, Hackensack, NJ 07601-2519 Ph: (551) 309-3555 |
Laura Lorraine Mckenna, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave Bldg Pc218, Hackensack, NJ 07601 Phone: 551-996-5362 |
Mrs. Lauren Anne Carucci, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2000 |
Michael Anthony Williams-healy, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Polifly Rd, Hackensack, NJ 07601 Phone: 201-343-6360 |
Alexandra Schulsinger, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 92 Summit Ave, Hackensack, NJ 07601 Phone: 201-342-0066 |
Breeana Dickson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 University Plz Ste 204, Hackensack, NJ 07601 Phone: 973-435-9463 |
Ms. Lauren Mary Canciani, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2000 |
Ms. Elizabth Anne Bilotti, APN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 Prospect Ave, The Cancer Center At Hackensack University Medical Ctr., Hackensack, NJ 07601 Phone: 201-996-5900 |