Individual provider Active NPI

Hossam M Khalil, M.D.

  • Internal Medicine Physician
  • Hazlet, NJ
National Provider Identifier
1295733970
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06812700 Issued in NJ
Practice address
233 Middle Rd
Suite 2
Hazlet, NJ 07730-1904
Phone
(732) 335-0900
Fax
(732) 335-8080
NPI assigned
Jul 7, 2005
Last updated
Oct 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06812700 NJ Primary

Addresses

Primary practice location

233 Middle Rd
Suite 2
Hazlet, NJ 07730-1904

Mailing address

233 Middle Rd
Suite 2
Hazlet, NJ 07730-1904
Phone (732) 335-0900

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
I20050210000563 NJ Practitioner - Internal Medicine 6800847146 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06812700NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alignmed Medical Group NJ, PC CurrentSince Dec 3, 2024 Accepting new patients
Pai Participant 25 PC CurrentSince Jun 18, 2025 Accepting new patients
Family First Primary Physicians II LLC Internal Medicine CurrentSince May 8, 2025 Accepting new patients
292 Applegarth Road Operations LLC Past Accepting new patients
Skiles Avenue and Sterling Drive Urban Renewal Operations LLC Past Accepting new patients

Locations

196 Jack Martin Blvd
Ste A2
Brick, NJ 08724
Phone (732) 458-4045

115 Sunset Rd
Burlington Township, NJ 08016
Phone (609) 387-1091

12-15 Saddle River Rd
Fair Lawn, NJ 07410
Phone (201) 797-9522

1361 Route 72 W
Manahawkin, NJ 08050
Phone (609) 978-0600

249 High St
Newton, NJ 07860
Phone (973) 383-5600

1910 Highway 35
Oakhurst, NJ 07755
Phone (732) 531-4747

290 Red School Ln
Phillipsburg, NJ 08865
Phone (908) 859-2800

843 Wilbur Ave
Phillipsburg, NJ 08865
Phone (908) 454-2627

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Accelerate Skilled Nursing and Rehabilitation PiscatawayPiscataway, NJ, CCN 315522 Skilled nursing facility Managing Control - Governing Body
Adp of the SNF
Apr 1, 2024
Dec 6, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1295733970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 MIDDLE RD",
            "address_2": "SUITE 2",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301904",
            "telephone_number": "732-335-0900",
            "fax_number": "732-335-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 MIDDLE RD",
            "address_2": "SUITE 2",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301904",
            "telephone_number": "732-335-0900",
            "fax_number": "732-335-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIL",
        "first_name": "HOSSAM",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2011-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06812700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlet, NJ

Sources for this page

Verify at the official NPI Registry.