Active NPI
Khaled Alalwani, MD
- Internal Medicine Physician
- Clifton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 286078
- Practice address
- 57 Lakeview Ave
Clifton, NJ 07011-4041 - Phone
- (347) 545-7962
- Fax
- (862) 591-1194
- NPI assigned
- Jul 5, 2013
- Last updated
- Jan 24, 2023
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 286078 | NY | Primary |
Addresses
Primary practice location
57 Lakeview Ave
Clifton, NJ 07011-4041
Mailing address
14 Emerson Dr
Staten Island, NY 10304-1511
Phone (718) 720-2377
Other practice location 1
14 Emerson Dr
Staten Island, NY 10304-1511
Phone (718) 720-2377
Other practice location 2
4771 Hylan Blvd
Hospitalist
Staten Island, NY 10312-6315
Phone (718) 948-8200
Other practice location 3
315 S Manning Blvd
Albany, NY 12208-1707
Phone (518) 525-1550
Other practice location 4
2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 271-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25MA09983000 | Other | NJ | NJ LICENSE /REGISTRATION CERTIFICATE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | payer.credentialing@sphp.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
518 Falcon Ave
Staten Island, NY 10306-4558
Phone (347) 545-7962
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Hospital of Troy, New York | Internal Medicine | Current | Accepting new patients |
| North Shore-Lij Medical PC | Internal Medicine | Current | Accepting new patients |
| Trinitas Physicians Practice, LLC | Internal Medicine | Current | Accepting new patients |
| Advanced Care Center | Internal Medicine | Current | Accepting new patients |
| Dr Khaled Al Alwani PC | Internal Medicine | Current | Accepting new patients |
| Bronx Medical Practice P.C. | Internal Medicine | Current | Accepting new patients |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| St. Peter's Hospital of the City of Albany | Internal Medicine | Current | Accepting new patients |
| St. Peter's Hospital of the City of Albany | Internal Medicine | Current | Accepting new patients |
| Essen Medical Associates,PC | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Ben Sinai Medical PC | Current | Accepting new patients | |
| House Call Medical Services of New York, PLLC | Internal Medicine | Current | Accepting new patients |
| Carmel Richmond Nursing Home, Inc. | Past | Accepting new patients | |
| Saint Joachim & Anne Nursing and Rehabilitation Center | Past | Accepting new patients | |
| Eger Health Care and Rehabilitation Center | Past | Accepting new patients |
Locations
57 Lakeview Ave
Clifton, NJ 07011
Phone (862) 247-8212
225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204
315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852
1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200
2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200
2015 Grand Concourse
#13202
Bronx, NY 10453
2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400
8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400
300 Community Dr
Manhasset, NY 11030
1432 Hylan Blvd
Staten Island, NY 10305
Phone (718) 238-6161
25 Fanning St
Staten Island, NY 10314
Phone (347) 671-8399
2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- kalalwani1328451@direct.trinity-health.org
Organizations & group practices 18
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.
-
- Internal Medicine Physician
- Clifton, NJ
- NPI 1255065660
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1972018893
-
- Medical Specialty Clinic/Center
- Brooklyn, NY
- NPI 1790930618
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1356726087
-
- Legal Medicine
- Bronx, NY
- NPI 1366418709
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1851345946
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
Internal Medicine
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
Internal Medicine
-
dba St. Peter's Hospital
- General Acute Care Hospital
- Albany, NY
- NPI 1518042357
Internal Medicine
-
- Internal Medicine Physician
- Freehold, NJ
- NPI 1346754132
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1700037975
-
- Internal Medicine Physician
- Elizabeth, NJ
- NPI 1205189941
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Carmel Richmond Health Care and Rehabilitation Center
- Skilled Nursing Facility
- Staten Island, NY
- NPI 1023097698
Nursing home
-
- Skilled Nursing Facility
- Staten Island, NY
- NPI 1356331565
Nursing home
-
- Home Health Agency
- Valhalla, NY
- NPI 1821184839
-
dba VNS Health Hospice Care
- Community Based Hospice Care Agency
- New York, NY
- NPI 1215928510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1558701524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 EMERSON DR",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103041511",
"telephone_number": "718-720-2377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 LAKEVIEW AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070114041",
"telephone_number": "347-545-7962",
"fax_number": "862-591-1194"
}
],
"practiceLocations": [
{
"address_1": "14 Emerson Dr",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103041511",
"country_code": "US",
"telephone_number": "718-720-2377",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4771 Hylan Blvd",
"address_2": "Hospitalist",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103126315",
"country_code": "US",
"telephone_number": "718-948-8200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "315 S Manning Blvd",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122081707",
"country_code": "US",
"telephone_number": "518-525-1550",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2215 Burdett Ave",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "NY",
"postal_code": "121802466",
"country_code": "US",
"telephone_number": "518-271-3300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALALWANI",
"first_name": "KHALED",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-05",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "286078",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ LICENSE /REGISTRATION CERTIFICATE",
"identifier": "25MA09983000",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "payer.credentialing@sphp.com",
"affiliation": "N",
"endpointDescription": "SPHP Payer Credentialing",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "315 S Manning Blvd",
"city": "Albany",
"state": "NY",
"country_code": "US",
"postal_code": "122081707",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.