MEDICARE: DR. NANDITA M MATHUR KHANEJA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207K00000X	Allergy & Immunology Physician	236763	NY
2	208000000X	Pediatrics Physician	236763	NY

General Provider Information

NPI Number	:	1629005947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANDITA M MATHUR KHANEJA MD

Provider Business Mailing Address
First Line	:	PO BOX 670992
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11367-0992
Country	:	US
Telephone Number	:	718-812-4753
Fax Number	:	718-263-9666

Provider Business Practice Location Address
First Line	:	26003 UNION TPKE # A
Second Line	:
City	:	GLEN OAKS
State	:	NY
Zip	:	11004-1345
Country	:	US
Telephone Number	:	917-674-5108
Fax Number	:	718-263-9666

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2006
Last Update Date	:	12/12/2025

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