Emad M Khella

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ15216300 Issued in NJ

Practice address

15 Commerce Blvd Ste 100
Succasunna, NJ 07876-1343

Phone

(973) 587-6404

NPI assigned

Nov 20, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: emad.khella.1@32967.direct.athenahealth.com

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.

• The Radiology Group of New Jersey, LLC

  • Multi-Specialty Clinic/Center
  • Hackettstown, NJ
  • NPI 1174010540
  Medicare reassignment Care Compare group NPD
• DRX Paramus, LLC

  • Urgent Care Clinic/Center
  • Paramus, NJ
  • NPI 1316272685
  Medicare reassignment NPD
• Life Medical Group, PC

  • Multi-Specialty Clinic/Center
  • East Hanover, NJ
  • NPI 1134939333
  Medicare reassignment NPD
• Life Mobile Imaging, Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • East Hanover, NJ
  • NPI 1508677519
  NPD
• Monmouth Digestive Health LLC

  • Gastroenterology Physician
  • Eatontown, NJ
  • NPI 1831721232
  NPD (past)

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1285459644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 OLD POST RD APT 202",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088174693",
            "telephone_number": "551-221-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 COMMERCE BLVD STE 100",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761343",
            "telephone_number": "973-587-6404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 S Orange Ave Ste 235",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "NJ",
            "postal_code": "070394915",
            "country_code": "US",
            "telephone_number": "973-607-4911",
            "fax_number": "973-607-4911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHELLA",
        "first_name": "EMAD",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-20",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15216300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Harrington Consulting LLC
• Ronald M Jupiter, DDS
• Krista Kaspar
• Cynthia A Kenworthy, PT
• Mohammad A Kheiralla, DDS
• Kitchin Dentistry, PA
• A. Lloyd Kitchin, D.M.D.
• Joseph Michael Koch, A.T.C.
• Zachary Kohner
• Lakeside Endodontics

• Family Nurse Practitioner in Succasunna, NJ
• Providers in Succasunna, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.