Active NPI
Nami Khulusi MD LLC
- Internal Medicine Physician
- Englishtown, NJ
National Provider Identifier
1417092776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA06313900
- Legal business name
- NAMI KHULUSI MD LLC
- Practice address
- 74 US Highway 9
Englishtown, NJ 07726-9209 - Phone
- (718) 819-2920
- Fax
- (718) 819-2923
- NPI assigned
- Feb 21, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eileen Kenny
- Title
- Off. MGR.
- Phone
- (718) 819-2920
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA06313900 | NJ | Primary |
Addresses
Primary practice location
74 US Highway 9
Englishtown, NJ 07726-9209
Mailing address
74 Route 9 North
Englishtown, NJ 07726
Phone (718) 819-2920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
615 Hope Rd
Ste 2A
Eatontown, NJ 07724
Phone (732) 233-6448
74 Route 9
Lowr
Englishtown, NJ 07726
Phone (732) 972-5880
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Eatontown, NJ
- NPI 1841361771
-
- Chiropractor
- Elizabeth, NJ
- NPI 1659461655
-
- Chiropractor
- Shrewsbury, NJ
- NPI 1891813168
-
- Physical Therapist
- Shrewsbury, NJ
- NPI 1245875723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1417092776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 ROUTE 9 NORTH",
"city": "ENGLISHTOWN",
"state": "NJ",
"postal_code": "07726",
"telephone_number": "718-819-2920",
"fax_number": "718-819-2923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 US HIGHWAY 9",
"city": "ENGLISHTOWN",
"state": "NJ",
"postal_code": "077269209",
"telephone_number": "718-819-2920",
"fax_number": "718-819-2923"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAMI KHULUSI MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KENNY",
"authorized_official_first_name": "EILEEN",
"authorized_official_title_or_position": "OFF. MGR.",
"authorized_official_telephone_number": "718-819-2920"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA06313900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englishtown, NJ
- MH & J Su, LLC
- Millennium Eye Care, LLC
- Tusharkumar N Mistry, MD
- Monmouth Rehab Professionals, Inc.
- Laura Murino
- Lakshmi P Nandiwada, MD
- Natalya Csatari LLC (Natalya Mind and Wellness Psychiatry)
- National Vision Inc (America's Best Contacts & Eyeglasses)
- New Jersey Podiatric Physicians & Surgeons Group, LLC (Central Jersey Family Podiatry)
- Newborn to Adolescent Specialists
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.