Active NPI
Roosey Khawly, MD
- Psychiatry Physician
- Point Pleasant Beach, NJ
National Provider Identifier
1336588581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 109301
- Practice address
- 1322 Ocean Ave
Point Pleasant Beach, NJ 08742-4191 - Phone
- (561) 306-0390
- NPI assigned
- Jun 20, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 109301 | NY | Primary |
Addresses
Primary practice location
1322 Ocean Ave
Point Pleasant Beach, NJ 08742-4191
Mailing address
PO Box 3387
Palm Beach, FL 33480-1587
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109301 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705881600000",
"number": "1336588581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3387",
"city": "PALM BEACH",
"state": "FL",
"postal_code": "334801587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1322 OCEAN AVE",
"city": "POINT PLEASANT BEACH",
"state": "NJ",
"postal_code": "087424191",
"telephone_number": "561-306-0390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAWLY",
"first_name": "ROOSEY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-20",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "109301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Point Pleasant Beach, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.