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

Shivani Khetani, MD

Individual provider Endocrinology, Diabetes & Metabolism Physician · NPI 1639793540

Shivani Khetani, MD is an Endocrinology in Fair Lawn, New Jersey. Qualified in 2018, 8 years ago. Practices with Medical Associates of Englewood PC, a 540-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and Tennessee.

Years since qualifying
8
Licensed in
NJ, TN
In the registry since
2020
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

22-18 Broadway Ste 201
Fair Lawn, NJ 07410-3016
Phone: (862) 297-9696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1225 McBride Ave, Woodland Park, NJ 07424-3812 — (973) 812-0377

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence 25MA12757900 (NJ)
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X · Licence UTRESIDENT (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1639793540
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 5, 2020
Last updated in NPPESJuly 18, 2025
Certification dateJuly 18, 2025
Mailing address1225 McBride Ave, Woodland Park, NJ 07424-3812

Medicare enrollment

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

Medicare specialtyENDOCRINOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Medical Associates Of Englewood Pc — 540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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