Organization Active NPI

Steve Khalil

  • Internal Medicine Physician
  • Old Bridge, NJ
National Provider Identifier
1548719131
Registry record updated Sep 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA09695800 Issued in NJ
Legal business name
STEVE KHALIL
Practice address
21 Ironwood LN
Apt D
Old Bridge, NJ 08857-4595
Phone
(718) 887-4308
NPI assigned
Sep 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2016

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

Authorized official

Name
Steve KhalilNPI 1568738268
Title
MD
Phone
(718) 887-4308

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 25MA09695800 NJ Primary

Addresses

Primary practice location

21 Ironwood LN
Apt D
Old Bridge, NJ 08857-4595

Mailing address

21 Ironwood LN
Apt D
Old Bridge, NJ 08857-4595
Phone (718) 887-4308

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": "1474675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474675200000",
    "number": "1548719131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 IRONWOOD LN",
            "address_2": "APT D",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088574595",
            "telephone_number": "718-887-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 IRONWOOD LN",
            "address_2": "APT D",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088574595",
            "telephone_number": "718-887-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVE KHALIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-24",
        "last_updated": "2016-09-24",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-887-4308"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09695800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2016; 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.