Organization Active NPI

Dr Khaled Al Alwani PC

  • Internal Medicine Physician
  • Freehold, NJ
National Provider Identifier
1346754132
Registry record updated Dec 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DR KHALED AL ALWANI PC
Practice address
50 Barkalow Ave
Freehold, NJ 07728-2064
Phone
(347) 345-5812
Fax
(347) 345-5812
NPI assigned
Dec 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2017

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

Authorized official

Name
Khaled Al AlwaniNPI 1558701524
Title
MD
Phone
(347) 545-7962

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

50 Barkalow Ave
Freehold, NJ 07728-2064

Mailing address

14 Emerson Dr
Staten Island, NY 10304-1511
Phone (347) 545-7962

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512086400000",
    "number": "1346754132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 EMERSON DR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103041511",
            "telephone_number": "347-545-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BARKALOW AVE",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282064",
            "telephone_number": "347-345-5812",
            "fax_number": "347-345-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KHALED AL ALWANI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-01",
        "status": "A",
        "authorized_official_last_name": "AL ALWANI",
        "authorized_official_first_name": "KHALED",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "347-545-7962"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.