Active NPI
Albert E Khalaf, D.C.
- Chiropractor
- Fair Lawn, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00630100
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P3599514 | Other | NJ | OXFORD ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040928000848 | NJ | Practitioner - Chiropractic | 6608845532 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sportsmed PT LLC | Chiropractor | Current | Accepting new patients |
| Sportsmed of Glen Rock PA | Chiropractor | Past | Accepting new patients |
| Advanced Acupuncture Center LLC | Past | Accepting new patients | |
| Haledon Advanced Chiropractic LLC | Past | Accepting new patients | |
| Haledon Advanced Physical Therapy, LLC | Past | Accepting new patients | |
| Fair Lawn Physical Therapy and Sports Medicine LLC | Chiropractor | Past | Accepting new patients |
| Clifton Sports Medicine & Physical Therapy LLC | Chiropractor | Past | 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.
-
- Acupuncturist
- Fair Lawn, NJ
- NPI 1568735728
-
- Chiropractor
- Fair Lawn, NJ
- NPI 1598882524
-
- Rehabilitation Chiropractor
- Haledon, NJ
- NPI 1609087113
-
- Physical Therapist
- Haledon, NJ
- NPI 1417168931
-
- Chiropractor
- Clifton, NJ
- NPI 1851548762
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.