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

Tatia Khardziani

Individual provider Nurse Practitioner · NPI 1942164520

Tatia Khardziani is a Nurse Practitioner in Lincoln Park, New Jersey. Licensed in New Jersey. Registered with an NPI since 2025.

Licensed in
NJ
In the registry since
2025

Practice location Address checks out

5 Squire Dr
Lincoln Park, NJ 07035-1511
Phone: (862) 591-8370
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 26NR23155600 (NJ)

Record details

NPI number1942164520
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 9, 2025
Last updated in NPPESDecember 12, 2025
Certification dateDecember 12, 2025