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KHALED MOHAMMAD KHALED BANI YASEEN MD
NPI 1023856507
Student in an Organized Health Care Education/Training Program in Newark, NJ

Active since July 18, 2024
111 CENTRAL AVE, NEWARK, NJ 07102(551) 250-3743 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Khaled Mohammad Khaled Bani Yaseen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHALED MOHAMMAD KHALED BANI YASEEN MD (NPI 1023856507) is an individual student in an organized health care education/training program in Newark, New Jersey and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1023856507
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKHALED MOHAMMAD KHALED BANI YASEENCredential: MD
Location Address111 CENTRAL AVENewark, NJ 07102-1909
Mailing Address205 Mount Vernon AveOrange, NJ 07050-1711 · (551) 250-3743
Phone(551) 250-3743
Sole ProprietorNo
Enumeration DateJuly 18, 2024
NPPES CertifiedJuly 18, 2024
✔ NPI 1023856507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

111 CENTRAL AVE, Newark, NJ 07102
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TERESA O MADRID M.D.
Family Medicine (Adult Medicine)
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5543
DR. WILLIAM RICHARD CHENITZ MD, FACP
Internal Medicine (Nephrology)
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 624-4908
MARIO SEGUNDO GONZALEZ MD FCAP FASCP
Pathology (Anatomic Pathology & Clinical Pathology)
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5200
MR. RICHARD TERENCE SULLIVAN RN, APN,C
Nurse Practitioner (Adult Health)
111 CENTRAL AVE, CARDIAC CATH LAB
NEWARK, NJ 07102
Essex County (973) 877-5153
MS. REETU MALINI SOOKRAJ APRN, BC
Nurse Practitioner (Family)
111 CENTRAL AVE, CARDIAC CATH LAB
NEWARK, NJ 07102
Essex County (973) 877-5153
GEORGETTE WILSON-GRANBY
Nurse Practitioner (Adult Health)
111 CENTRAL AVE, SMMC, EMPLOYEE HEALTH - MSH ROOM 203
NEWARK, NJ 07102
Essex County (973) 877-5452
DR. JOHN S KASHANI DO
Emergency Medicine (Medical Toxicology)
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
DR. ARTHUR T CANARIO M.D.
Contractor
111 CENTRAL AVE, FLOOR M2
NEWARK, NJ 07102
Essex County (973) 877-2654

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khaled Bani Yaseen's NPI number?

The NPI number for Khaled Bani Yaseen is 1023856507. It was assigned to this individual provider in the NPPES registry on July 18, 2024.

Where is Khaled Bani Yaseen located?

Khaled Bani Yaseen practices at 111 Central Ave, Newark, NJ 07102. The listed phone number is (551) 250-3743.

What is Khaled Bani Yaseen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Khaled Bani Yaseen was last updated on July 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.