Active NPI
Khalid Hassaballa
- Pharmacist
- South Plainfield, NJ
National Provider Identifier
1437490299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03491400
- Practice address
- 4041 Hadley Rd
Suite M
South Plainfield, NJ 07080-1111 - Phone
- (800) 793-8073
- Fax
- (877) 415-6707
- NPI assigned
- Mar 4, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03491400 | NJ | Primary |
Addresses
Primary practice location
4041 Hadley Rd
Suite M
South Plainfield, NJ 07080-1111
Mailing address
4041 Hadley Rd
Suite M
South Plainfield, NJ 07080-1111
Phone (800) 793-8073
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03491400 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362355200000",
"number": "1437490299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4041 HADLEY RD",
"address_2": "SUITE M",
"city": "SOUTH PLAINFIELD",
"state": "NJ",
"postal_code": "070801111",
"telephone_number": "800-793-8073",
"fax_number": "877-415-6707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4041 HADLEY RD",
"address_2": "SUITE M",
"city": "SOUTH PLAINFIELD",
"state": "NJ",
"postal_code": "070801111",
"telephone_number": "800-793-8073",
"fax_number": "877-415-6707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSABALLA",
"first_name": "KHALID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-04",
"last_updated": "2013-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03491400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Plainfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.