Healthcare Provider Details

I. General information

NPI: 1871401034
Provider Name (Legal Business Name): PROSTHODONTIC ASSOCIATES OF WESTFIELD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 N EUCLID AVE
WESTFIELD NJ
07090-2427
US

IV. Provider business mailing address

1 RIVER CT APT 2206
JERSEY CITY NJ
07310-2009
US

V. Phone/Fax

Practice location:
  • Phone: 718-915-3713
  • Fax: 866-894-5881
Mailing address:
  • Phone: 718-915-3713
  • Fax: 866-894-5881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. YATIN KHANNA
Title or Position: PRESIDENT
Credential: DDS
Phone: 718-915-3713