Individual provider Active NPI

Abdul-Hady Kheder, MD

  • Internal Medicine Physician
  • Hamilton, NJ
National Provider Identifier
1487631909
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA071489 Issued in NJ
Practice address
445 Whitehorse Ave
Suite 202
Hamilton, NJ 08610-1408
Phone
(609) 585-1122
Fax
(609) 585-0309
NPI assigned
Dec 27, 2005
Last updated
Jul 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA071489 NJ Primary

Addresses

Primary practice location

445 Whitehorse Ave
Suite 202
Hamilton, NJ 08610-1408

Mailing address

445 White Horse Ave Ste 202
Hamilton, NJ 08610-1410
Phone (609) 281-2000

Other identifiers 1

IdentifierTypeStateIssuer
8401209MedicaidNJ

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040511001383 NJ Practitioner - Internal Medicine 5991794125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

445 White Horse Ave
Suite 202
Hamilton, NJ 08610-1410
Phone (609) 281-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA071489NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Care Medical Group Inc Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Hamilton Hospitalists LLC Internal Medicine Current Accepting new patients
Spotswood Wellness Center LLC Internal Medicine CurrentSince Dec 25, 2024 Accepting new patients
St. Francis Medical Center Past Accepting new patients

Locations

14 Snowhill St
Spotswood, NJ 08884
Phone (732) 690-2875

445 Whitehorse Ave
Ste 100
Trenton, NJ 08610
Phone (609) 581-6655

445 Whitehorse Ave
Ste 202
Trenton, NJ 08610
Phone (609) 281-2000

Interoperability endpoints

  • Direct secure messaging: abdul-hady.kheder.1@28673.direct.athenahealth.com
  • Direct secure messaging: abdul.kheder.1@18094.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHFAED/Endpoint/IHFAED

Organizations & group practices 7

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1487631909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 WHITE HORSE AVE STE 202",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086101410",
            "telephone_number": "609-281-2000",
            "fax_number": "609-281-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 WHITEHORSE AVE",
            "address_2": "SUITE 202",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086101408",
            "telephone_number": "609-585-1122",
            "fax_number": "609-585-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHEDER",
        "first_name": "ABDUL-HADY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA071489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8401209",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.