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

Shaza Khatib

Individual provider Medical-Surgical Registered Nurse · NPI 1639945942

Shaza Khatib is a Nurse Practitioner in Garfield, New Jersey. Qualified in 2024, 2 years ago. Practices with Clifton Medical Clinic Inc, a 3-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
2
Licensed in
NJ
In the registry since
2023
Specialties on file
2

Practice location Address checks out

194 Gaston Ave
Garfield, NJ 07026-1111
Phone: (973) 462-9659
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ15169200 (NJ)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence 26NR19673500 (NJ)

Record details

NPI number1639945942
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 28, 2023
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024
Mailing address190 Gaston Ave, Garfield, NJ 07026-1111

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Clifton Medical Clinic Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount