Samerh M Khalil

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Practice address

742 Bergen Blvd
Ridgefield, NJ 07657-1435

Phone

(973) 454-0528

Fax

(973) 454-0528

NPI assigned

Jul 16, 2025

Last updated

Jul 16, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Lighthouse ABA Therapy

  • Behavior Analyst
  • Cliffside PK, NJ
  • NPI 1346957818
  NPD Authorized official
• Lighthouse ABA Therapy

  • Developmental Disabilities Clinic/Center
  • Ridgefield, NJ
  • NPI 1952284762
  NPD Authorized official

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1245122142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 BERGEN BLVD",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571435",
            "telephone_number": "973-454-0528",
            "fax_number": "973-454-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 BERGEN BLVD",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571435",
            "telephone_number": "973-454-0528",
            "fax_number": "973-454-0528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIL",
        "first_name": "SAMERH",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "884247942",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mona Kahil, DNP, MSN, A-GNP-C
• Han Jong Kang, D.D.S
• Justin Kang, DMD, MS, MPH
• Raffi Kaprielian, DDS
• Kata Physical Therapy PC (Kata Physical Therapy)
• Jane Kyunghee Kim-Jin, L.AC
• Chan-Kyu Kim, DMD
• Dongkyun Daniel Kim, D.D.S.
• Esther Kim
• Jaeyeal Kim, LAC

• Developmental Disabilities Clinic/Center in Ridgefield, NJ
• Providers in Ridgefield, NJ by specialty
• Developmental Disabilities Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.