NPIMap

Individual provider Active NPI

Walid Elkhalili, MD

  • Internal Medicine Physician
  • Fair Lawn, NJ
National Provider Identifier
1205186756
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA09576800 Issued in NJ
Practice address
6-20 Plaza Rd
Fair Lawn, NJ 07410-3113
Phone
(201) 797-2003
Fax
(201) 797-7003
NPI assigned
Sep 12, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD458767 PA
Internal Medicine Physician 207R00000X 25MA09576800 NJ Primary

Addresses

Primary practice location

6-20 Plaza Rd
Fair Lawn, NJ 07410-3113

Mailing address

6-20 Plaza Rd
Fair Lawn, NJ 07410-3113
Phone (201) 797-2003

Other identifiers 1

IdentifierTypeStateIssuer
0517321MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160614001169 NJ Practitioner - Internal Medicine 7214228766 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inhospital Physicians Corp of New Jersey, PCGroup PAC ID 2264781780, 20 clinicians
Apex Medical ProfessionalsGroup PAC ID 1658665138, 5 clinicians

Practice addresses (Care Compare)

350 Boulevard
Passaic, NJ 07055-2840
Phone (973) 365-4300

6 -20 Plaza Rd
Fair Lawn, NJ 07410-3113
Phone (201) 797-2003

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Meridian Care LLC Internal Medicine Current Accepting new patients
Internal Medicine of Morris County LLC Internal Medicine CurrentSince Mar 1, 2023 Accepting new patients
Apex Medical Professionals Internal Medicine CurrentSince Jun 1, 2016 Accepting new patients
St Josephs University Medical Center Inc. Past Accepting new patients
Bergen County Improvement Authority Past Accepting new patients
Vital Medical Forces of Dover PC Internal Medicine Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
Ihpnj ER LLC Past Accepting new patients
The Valley Hospital Inc. Past Accepting new patients

Locations

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

6-20 Plaza Rd
Fair Lawn, NJ 07410
Phone (201) 509-8900

6-20 Plaza Rd
Fl 2
Fair Lawn, NJ 07410
Phone (201) 265-5700

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

Organizations & group practices 10

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 7

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": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1205186756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6-20 PLAZA RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103113",
            "telephone_number": "201-797-2003",
            "fax_number": "201-797-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6-20 PLAZA RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103113",
            "telephone_number": "201-797-2003",
            "fax_number": "201-797-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKHALILI",
        "first_name": "WALID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-12",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD458767",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09576800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0517321",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.