Diana Khaitov, PA - Medicare Physician Assistant in Belleville, NJ

Diana Khaitov, PA is a medicare enrolled "Physician Assistant" in Belleville, New Jersey. Her current practice location is 1 Clara Maass Dr, Clara Maass Medical Center, Belleville, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 450-2000.

Diana Khaitov is licensed to practice in New Jersey (license number 25MP00183400) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1346564028.

Contact Information

Diana Khaitov, PA
1 Clara Maass Dr, Clara Maass Medical Center,
Belleville, NJ 07109-3550
(973) 450-2000
(973) 251-1109



Provider's Profile

Full NameDiana Khaitov
GenderFemale
SpecialityPhysician Assistant
Location1 Clara Maass Dr, Belleville, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346564028
  • Provider Enumeration Date: 03/24/2010
  • Last Update Date: 03/24/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 5799813432
  • Enrollment ID: I20100517000651

Medical Identifiers

Medical identifiers for Diana Khaitov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346564028NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 25MP00183400 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Diana Khaitov is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Diana Khaitov, PA
Po Box 717,
Livingston, NJ 07039-0717

Ph: (800) 345-0064
Diana Khaitov, PA
1 Clara Maass Dr, Clara Maass Medical Center,
Belleville, NJ 07109-3550

Ph: (973) 450-2000

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› Verified 9 days ago


Physician Assistant Nurses in Belleville, NJ

Miss Lucknie Ovincy, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 50 Newark Ave, Belleville, NJ 07109
Phone: 973-751-2060    
Jurga Marshall, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1 Clara Maass Dr, Clara Maass Medical Center, Belleville, NJ 07109
Phone: 973-450-2000    
Lellas Alhallak, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1 Clara Maass Dr, Belleville, NJ 07109
Phone: 973-450-2000    
James Pormentilla, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1 Clara Maass Dr, Clara Maass Medical Center, Belleville, NJ 07109
Phone: 973-450-2000    Fax: 973-251-1109
Alexandria Mary Zummo, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1 Clara Maass Dr, Belleville, NJ 07109
Phone: 973-450-2000    
Jessica Rochelle Lansky,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1 Clara Maass Dr, Belleville, NJ 07109
Phone: 973-450-2100    
Daniela Villaman, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 36 Newark Ave Ste 132, Belleville, NJ 07109
Phone: 973-844-4161    

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