Danial Khalifa, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

25MAD00330800 Issued in NJ

Practice address

3221 Route 38 Ste 102
Mount Laurel, NJ 08054-9765

Phone

(732) 305-0891

NPI assigned

May 24, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sole Wellness and Aesthetics LLCGroup PAC ID 2062789894, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Virtua Willingboro Hospital Hospital, Willingboro, NJ, CCN 310061

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sole Wellness & Aesthetics, LLC

  • Podiatrist
  • Mount Laurel, NJ
  • NPI 1760916936
  Medicare reassignment Care Compare group NPD Authorized official
• Sole Wellness Podiatry PC

  • Podiatrist
  • Mount Laurel, NJ
  • NPI 1700452620
  NPD Authorized official
• Paragon Health Chiropractic

  • Orthopedic Chiropractor
  • Robbinsville, NJ
  • NPI 1740841337
  NPD
• Mann Anesthesia PA

  • Anesthesiology Physician
  • Whiting, NJ
  • NPI 1528234077
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Virtua Willingboro Hospital Inc

  dba Virtua Health & Wellness Center

  • General Acute Care Hospital
  • Willingboro, NJ
  • NPI 1053316844
  Care Compare affiliation

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1467899898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 COMPASS CIR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080546104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 ROUTE 38 STE 102",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080549765",
            "telephone_number": "732-305-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIFA",
        "first_name": "DANIAL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-24",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MAD00330800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Rose Kelly, LAC
• Walter T Kelso
• Joseph Kendorski, BCBA
• Tracy Lynne Kettering, PH.D., BCBA-D
• Allison Keyes, LSW
• Munaza Anwar Khan, MD
• Sophia S Khan, M.D
• Zubair Khan, D.O.
• KHSR Enterprises LLC (Interim HealthCare)
• Krystle Kilcrease

• Podiatrist in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.