Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexandra Khanyutin

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1225458607

Alexandra Khanyutin is a Psychiatry in Newark, New Jersey. Qualified in 2014, 12 years ago. Practices with Hackensack Meridian Health Medical Group - Specialty Care PC, a 1,897-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
12
Licensed in
NJ, NY
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

183 S Orange Ave Bhsb E-1452
Newark, NJ 07103-2757
Phone: (973) 972-4678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 25MA10126000 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Psychiatry Physician Taxonomy 2084P0800X · Licence 293027 (NY)

Record details

NPI number1225458607
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 23, 2014
Last updated in NPPESJune 14, 2022
Certification dateJune 14, 2022
Mailing address530 New Brunswick Ave, Perth Amboy, NJ 08861-3654

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Hackensack Meridian Health Medical Group - Specialty Care Pc — 1897 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Newark