Individual provider Active NPI

Khaled Alalwani, MD

  • Internal Medicine Physician
  • Clifton, NJ
National Provider Identifier
1558701524
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
286078 Issued in NY
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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 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

IdentifierTypeStateIssuer
25MA09983000OtherNJNJ LICENSE /REGISTRATION CERTIFICATE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161122001548 NY Practitioner - Internal Medicine 8325335177 Reassigns benefits to 9 organizations
I20171115001137 NJ Practitioner - Internal Medicine 8325335177 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Samaritan Hospital of Troy, New York Internal Medicine CurrentSince Aug 22, 2021 Accepting new patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Apr 12, 2022 Accepting new patients
Trinitas Physicians Practice, LLC Internal Medicine CurrentSince Oct 30, 2017 Accepting new patients
Advanced Care Center Internal Medicine CurrentSince Jun 1, 2022 Accepting new patients
Dr Khaled Al Alwani PC Internal Medicine Current Accepting new patients
Bronx Medical Practice P.C. Internal Medicine CurrentSince Dec 1, 2021 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
St. Peter's Hospital of the City of Albany Internal Medicine CurrentSince Nov 14, 2016 Accepting new patients
St. Peter's Hospital of the City of Albany Internal Medicine CurrentSince Nov 14, 2016 Accepting new patients
Essen Medical Associates,PC CurrentSince Dec 1, 2021 Accepting new patients
Essen Medical Associates, PC CurrentSince Dec 1, 2021 Accepting new patients
Ben Sinai Medical PC CurrentSince Nov 2, 2020 Accepting new patients
House Call Medical Services of New York, PLLC Internal Medicine CurrentSince Dec 1, 2021 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

  • Direct secure messaging: 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.

View all 18

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.