SHIVANI KHETANI MD
NPI 1639793540
Internal Medicine - Endocrinology, Diabetes & Metabolism in Fair Lawn, NJ

Q: What is Shivani Khetani's NPI number?

The NPI number for Shivani Khetani is 1639793540. It was assigned to this individual provider in the NPPES registry on June 5, 2020.

Q: What is Shivani Khetani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Shivani Khetani was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 05, 2020PECOS EnrolledAccepts Medicare Assignment

22-18 BROADWAY STE 201, FAIR LAWN, NJ 07410(862) 297-9696 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2025, Jul 6, 2023, Jun 5, 2020 (3 updates tracked since 2020).

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About Shivani Khetani Md NPPES

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

SHIVANI KHETANI MD (NPI 1639793540) is an individual endocrinology, diabetes & metabolism provider in Fair Lawn, New Jersey, licensed in New Jersey (25MA12757900) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and maintains a secondary practice location in Woodland Park.

NPPES Registry Identity

NPI1639793540

Entity TypeIndividualFemale

Primary Taxonomy207RE0101X

Provider Legal NameSHIVANI KHETANICredential: MD

Location Address22-18 BROADWAY STE 201Fair Lawn, NJ 07410-3016

Mailing Address1225 Mcbride AveWoodland Park, NJ 07424-3812 · (973) 812-0377

Phone(862) 297-9696

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 5, 2020

Last NPPES UpdateJuly 18, 20253 updates tracked since enumeration

NPPES CertifiedJuly 18, 2025

✔ NPI 1639793540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

Licenses✔ Licensed in NJ · 25MA12757900✔ Licensed in TN · UTRESIDENT

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

22-18 BROADWAY STE 201, Fair Lawn, NJ 07410

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Secondary Practice Location 1

Location 11225 McBride AveWoodland Park, NJ 07424-3812 · Phone (973) 812-0377

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shivani Khetani Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678936549

PECOS Enrollment IDI20250829000038

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310045

Location350 Engle StEnglewood, NJ 07631 · Bergen County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07410 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

DR. DAVID ROBERT CHABBOTT MD

Internal Medicine (Cardiovascular Disease)