Individual provider Active NPI

Rahab Khalil, MD

  • Obstetrics & Gynecology Physician
  • Holmdel, NJ
National Provider Identifier
1053487363
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MA07881000 Issued in NJ
Practice address
2080 Route 35
Suite 1
Holmdel, NJ 07733
Phone
(732) 796-9400
Fax
(732) 796-9414
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MA07881000 NJ Primary

Addresses

Primary practice location

2080 Route 35
Suite 1
Holmdel, NJ 07733

Mailing address

999 Palmer Ave
Building 7
Holmdel, NJ 07733
Phone (732) 796-9400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rahab.khalil@direct.lifelinemedicalassoc.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050629000171 NJ Practitioner - Obstetrics/Gynecology 3678519758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifeline Medical Associates LLCGroup PAC ID 1456332170, 155 clinicians

Practice addresses (Care Compare)

16 Pocono Rd
Denville, NJ 07834-2901
Phone (973) 784-3935

302 Candlewood Commons
Alan Cohen MD
Howell, NJ 07731-2170
Phone (732) 905-8111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA07881000NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Medical Associates, LLC Obstetrics & Gynecology CurrentSince May 1, 2015 Accepting new patients
Women's Medical Connection, LLC Obstetrics & Gynecology PastSince Aug 1, 2005 Accepting new patients
Womens Health Alliance LLC Obstetrics & Gynecology Past Accepting new patients
Liberty Med Associates LLC Past Accepting new patients

Locations

16 Pocono Rd
Frnt
Denville, NJ 07834
Phone (973) 784-3935

2080 State Route 35
Holmdel, NJ 07733
Phone (732) 706-7200

2080 State Route 35
Ste 1
Holmdel, NJ 07733
Phone (732) 241-3725

999 Palmer Ave
Ste 7
Holmdel, NJ 07733
Phone (732) 796-9400

302 Candlewood Cmns
Howell, NJ 07731
Phone (732) 905-8111

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

1270 State Route 35
Ste B
Middletown, NJ 07748
Phone (732) 671-3597

300 Perrine Rd
Ste 333
Old Bridge, NJ 08857
Phone (732) 289-9335

530 Morris Ave
Ste 1
Springfield, NJ 07081

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/6387/brand/4/csg/23/fhir/r4
  • Direct secure messaging: rahab.m.khalil.1@27010.direct.athenahealth.com

Organizations & group practices 4

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1053487363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 PALMER AVE",
            "address_2": "BUILDING 7",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "07733",
            "telephone_number": "732-796-9400",
            "fax_number": "732-796-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 ROUTE 35",
            "address_2": "SUITE 1",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "07733",
            "telephone_number": "732-796-9400",
            "fax_number": "732-796-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIL",
        "first_name": "RAHAB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MA07881000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rahab.khalil@direct.lifelinemedicalassoc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2080 Route 35",
            "city": "Holmdel",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077331090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

Verify at the official NPI Registry.