Organization Active NPI

Khalaf Rabadi, M.D., P.C.

  • Internal Medicine Physician
  • Hamilton, NJ
National Provider Identifier
1619910932
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KHALAF RABADI, M.D., P.C.
Practice address
2119 Klockner Rd
Building 8, Suite 34
Hamilton, NJ 08690-3417
Phone
(609) 586-6500
Fax
(609) 586-8694
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Authorized official

Name
Khalaf E Rabadi, MD
Title
Owner
Phone
(609) 586-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2119 Klockner Rd
Building 8, Suite 34
Hamilton, NJ 08690-3417

Mailing address

2119 Klockner Rd
Building 8, Suite 34
Hamilton, NJ 08690-3417
Phone (609) 586-6500

Other identifiers 6

IdentifierTypeStateIssuer
0716741001OtherNJAMERIHEALTH
PSF0604OtherNJ1ST OPTION
MEP106OtherNJOXFORD
146654OtherNJPA BLUE SHIELD
554529OtherNJAETNA
0768201MedicaidNJ

National Provider Directory

National Provider Directory

Locations

2119 Klockner Rd
Bldg 8
Trenton, NJ 08690
Phone (609) 530-0060

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1619910932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 KLOCKNER RD",
            "address_2": "BUILDING 8, SUITE 34",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903417",
            "telephone_number": "609-586-6500",
            "fax_number": "609-586-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 KLOCKNER RD",
            "address_2": "BUILDING 8, SUITE 34",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903417",
            "telephone_number": "609-586-6500",
            "fax_number": "609-586-8694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHALAF RABADI, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "RABADI",
        "authorized_official_first_name": "KHALAF",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-586-6500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0716741001",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1ST OPTION",
            "identifier": "PSF0604",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "MEP106",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "146654",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "554529",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0768201",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.