TATIA KHARDZIANI
NPI 1942164520
Nurse Practitioner in Lincoln Park, NJ

Q: What is Tatia Khardziani's NPI number?

The NPI number for Tatia Khardziani is 1942164520. It was assigned to this individual provider in the NPPES registry on December 9, 2025.

Q: What is Tatia Khardziani's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Tatia Khardziani was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 December 09, 2025

5 SQUIRE DR, LINCOLN PARK, NJ 07035(862) 591-8370 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tatia Khardziani NPPES

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

TATIA KHARDZIANI (NPI 1942164520) is an individual nurse practitioner in Lincoln Park, New Jersey, licensed in New Jersey (26NR23155600) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1942164520

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTATIA KHARDZIANI

Location Address5 SQUIRE DRLincoln Park, NJ 07035-1511

Mailing Address5 Squire DrLincoln Park, NJ 07035-1511 · (862) 591-8370

Phone(862) 591-8370

Sole ProprietorNo

Enumeration DateDecember 9, 2025

Last NPPES UpdateDecember 12, 2025

NPPES CertifiedDecember 12, 2025

✔ NPI 1942164520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NJ · 26NR23155600

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

5 SQUIRE DR, Lincoln Park, NJ 07035

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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 Tatia Khardziani's NPI number?

The NPI number for Tatia Khardziani is 1942164520. It was assigned to this individual provider in the NPPES registry on December 9, 2025.

Where is Tatia Khardziani located?

Tatia Khardziani practices at 5 Squire Dr, Lincoln Park, NJ 07035. The listed phone number is (862) 591-8370.

What is Tatia Khardziani's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Tatia Khardziani was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.