Individual provider Active NPI

Vimi Khattar, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Somerville, NJ
National Provider Identifier
1053484709
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
DO7431600 Issued in NJ
Practice address
331 E Main St
Somerville, NJ 08876-3109
Phone
(908) 490-0036
Fax
(908) 490-0067
NPI assigned
Nov 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X DO7431600 NJ Primary

Addresses

Primary practice location

331 E Main St
Somerville, NJ 08876-3109

Mailing address

PO Box 163
Gillette, NJ 07933-0163
Phone (908) 490-0036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080109000119 NJ Practitioner - Physical Medicine and Rehabilitation 2860486230 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DO7431600NJMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Physiatry Services Physical Medicine & Rehabilitation CurrentSince Apr 12, 2001 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Sanu Medical Services Physical Medicine & Rehabilitation Past Accepting new patients

Locations

331 E Main St
Somerville, NJ 08876
Phone (908) 392-1167

512 Union St
Trenton, NJ 08611
Phone (609) 393-8622

Interoperability endpoints

  • Direct secure messaging: vkhattar59291@epicdirect.rwjbh.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053484709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 163",
            "city": "GILLETTE",
            "state": "NJ",
            "postal_code": "079330163",
            "telephone_number": "908-490-0036",
            "fax_number": "908-490-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 E MAIN ST",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088763109",
            "telephone_number": "908-490-0036",
            "fax_number": "908-490-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATTAR",
        "first_name": "VIMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "DO7431600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, NJ

Sources for this page

Verify at the official NPI Registry.