Individual provider Active NPI

Tejinderpaul Singh Kahlon, M.D.

  • Family Medicine Physician
  • Clifton, NJ
National Provider Identifier
1164703534
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA09509500 Issued in NJ
Practice address
1355 Broad St
Clifton, NJ 07013-4221
Phone
(973) 778-5566
Fax
(973) 778-4044
NPI assigned
Aug 30, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA09509500 NJ Primary

Addresses

Primary practice location

1355 Broad St
Clifton, NJ 07013-4221

Mailing address

1355 Broad St
Clifton, NJ 07013-4221
Phone (973) 778-5566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140820001577 NJ Practitioner - Family Practice 7113145962 Reassigns benefits to 2 organizations
I20250411000887 GA Practitioner - Family Practice 7113145962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

10 Main St Market PL SE
Cartersville, GA 30121-3309
Phone (470) 274-2345

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Jersey Urgent Care CurrentSince Jan 1, 2016 Accepting new patients
Central Jersey Urgent Care CurrentSince Jan 1, 2016 Accepting new patients
Wellstreet of Georgia PC CurrentSince Mar 9, 2025 Accepting new patients
Middlesex Emergency Physicians, P.a. CurrentSince Mar 1, 2018 Accepting new patients

Locations

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

10 Main Street Market Pl SE
Cartersville, GA 30121
Phone (470) 274-2345

1825 Highway 34 E
Ste 1200
Newnan, GA 30265
Phone (770) 502-2121

65 James St
Edison, NJ 08820
Phone (732) 321-7010

298 Applegarth Rd
Ste B
Monroe Township, NJ 08831
Phone (609) 409-0600

731 State Route 35
Unit G
Ocean, NJ 07712
Phone (732) 455-8444

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.

NPI Registry JSON

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1164703534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 BROAD ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070134221",
            "telephone_number": "973-778-5566",
            "fax_number": "973-778-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 BROAD ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070134221",
            "telephone_number": "973-778-5566",
            "fax_number": "973-778-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHLON",
        "first_name": "TEJINDERPAUL",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-30",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09509500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.