Active NPI
Jennifer Lynn Khelil, D.O.
- Internal Medicine Physician
- Moorestown, NJ
National Provider Identifier
1740323443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MB067918
- Practice address
- 110 Marter Ave
Suite 508
Moorestown, NJ 08057-3124 - Phone
- (856) 234-5959
- Fax
- (856) 234-5944
- NPI assigned
- Feb 14, 2007
- Sex
- Female
- 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 | MB067918 | NJ | Primary |
Addresses
Primary practice location
110 Marter Ave
Suite 508
Moorestown, NJ 08057-3124
Mailing address
110 Marter Ave
Suite 508
Moorestown, NJ 08057-3124
Phone (856) 234-5959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MB067918 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Internal Medicine | Past | Accepting new patients |
| Alliance for Better Care, P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Medford, NJ
- NPI 1740352459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740323443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 MARTER AVE",
"address_2": "SUITE 508",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080573124",
"telephone_number": "856-234-5959",
"fax_number": "856-234-5944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 MARTER AVE",
"address_2": "SUITE 508",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080573124",
"telephone_number": "856-234-5959",
"fax_number": "856-234-5944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHELIL",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MB067918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moorestown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.