NPIMap

Individual provider Active NPI

Anil Khandelwal, M.D.

  • Adolescent Medicine (Family Medicine) Physician
  • Plainfield, NJ
National Provider Identifier
1669630356
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X
License
25MA08444700 Issued in NJ
Practice address
451 Terrill Rd
Plainfield, NJ 07062-1377
Phone
(908) 941-9494
Fax
(908) 941-9495
NPI assigned
May 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Family Medicine) Physician 207QA0000X 25MA08444700 NJ Primary

Addresses

Primary practice location

451 Terrill Rd
Plainfield, NJ 07062-1377

Mailing address

PO Box 416457
Boston, MA 02241-6457
Phone (844) 362-1735

Other identifiers 1

IdentifierTypeStateIssuer
0263532MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110714000607 NJ Practitioner - Family Practice 5092983254 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians
Neighborhood Health Services CorporationGroup PAC ID 3072402395, 6 clinicians

Practice addresses (Care Compare)

100 Commerce PL
Clark, NJ 07066-1302
Phone (973) 829-4632

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

1700 Myrtle Ave
Suite 58
Plainfield, NJ 07063-1000
Phone 90875364011775

Hospital & facility affiliations

  • Atlantic Visiting Nurse Home health agency, Morristown, NJ, CCN 317054
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Nurse Association of Central Jersey Community Health Center I CurrentSince Jun 5, 2011 Accepting new patients
Visiting Nurse Association of Central Jersey Community Health Center I Current Accepting new patients
Visiting Nurse Association of Central Jersey Community Health Center I CurrentSince Jun 5, 2011 Accepting new patients
Practice Associates Medical Group Family Medicine CurrentSince Jan 6, 2025 Accepting new patients
Robert Wood Johnson University Hospital, Inc Past Accepting new patients

Locations

1301 Main St
Asbury Park, NJ 07712
Phone (732) 774-6333

100 Commerce Pl
Clark, NJ 07066
Phone (732) 388-2620

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

451 Terrill Rd
Plainfield, NJ 07062
Phone (908) 941-9494

Interoperability endpoints

  • Direct secure messaging: anil.khandelwal.p1@direct.nhscnj.nextgenshare.com
  • Direct secure messaging: akhandelwal17104@epicdirect.rwjbh.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1669630356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 TERRILL RD",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070621377",
            "telephone_number": "908-941-9494",
            "fax_number": "908-941-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANDELWAL",
        "first_name": "ANIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "NJ",
            "license": "25MA08444700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0263532",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, NJ

Sources for this page

Verify at the official NPI Registry.