Individual provider Active NPI

Albert E Khalaf, D.C.

  • Chiropractor
  • Fair Lawn, NJ
National Provider Identifier
1821115965
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00630100 Issued in NJ
Practice address
14-25 Plaza Rd
Suite S-2-4
Fair Lawn, NJ 07410-3546
Phone
(201) 797-7373
Fax
(201) 797-1055
NPI assigned
Mar 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00630100 NJ Primary

Addresses

Primary practice location

14-25 Plaza Rd
Suite S-2-4
Fair Lawn, NJ 07410-3546

Mailing address

266 Harristown Rd
Ste 304
Glen Rock, NJ 07452-3321
Phone (201) 797-7373

Other identifiers 1

IdentifierTypeStateIssuer
P3599514OtherNJOXFORD ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040928000848 NJ Practitioner - Chiropractic 6608845532 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sportsmed PT LLC Chiropractor CurrentSince Mar 23, 2018 Accepting new patients
Sportsmed of Glen Rock PA Chiropractor PastSince Mar 11, 2015 Accepting new patients
Advanced Acupuncture Center LLC Past Accepting new patients
Haledon Advanced Chiropractic LLC PastSince Jul 30, 2007 Accepting new patients
Haledon Advanced Physical Therapy, LLC PastSince Jul 30, 2007 Accepting new patients
Fair Lawn Physical Therapy and Sports Medicine LLC Chiropractor PastSince Apr 25, 2005 Accepting new patients
Clifton Sports Medicine & Physical Therapy LLC Chiropractor PastSince Aug 13, 2008 Accepting new patients

Locations

1233 Main Ave
Clifton, NJ 07011
Phone (973) 595-6444

14-25 Plaza Rd
Ste S24
Fair Lawn, NJ 07410
Phone (201) 797-7373

14-25 Plaza Rd
Fair Lawn, NJ 07410
Phone (201) 797-7373

784 Franklin Ave
Ste 230
Franklin Lks, NJ 07417
Phone (201) 891-0090

266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5798

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.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1821115965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 HARRISTOWN RD",
            "address_2": "STE 304",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523321",
            "telephone_number": "201-797-7373",
            "fax_number": "201-797-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14-25 PLAZA RD",
            "address_2": "SUITE S-2-4",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103546",
            "telephone_number": "201-797-7373",
            "fax_number": "201-797-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALAF",
        "first_name": "ALBERT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00630100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD ID",
            "identifier": "P3599514",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.