Active NPI
Khalid Zuhayr Tabbarah, M.D.
- Neurology Physician
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 25MA09591000
- Practice address
- 201 Lyons Ave # F4
Newark, NJ 07112-2027 - Phone
- (973) 926-7331
- Fax
- (973) 926-2997
- NPI assigned
- Apr 3, 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 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 25MA09591000 | NJ | Primary |
| Neurology Physician | 2084N0400X | 2005-01588 | NC | |
| Neurology Physician | 2084N0400X | ME 108915 | FL | |
| Clinical Neurophysiology Physician | 2084N0600X | MD430879 | PA | |
| Clinical Neurophysiology Physician | 2084N0600X | 2005-01588 | NC | |
| Clinical Neurophysiology Physician | 2084N0600X | 25MA09591000 | NJ | |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | 25MA09591000 | NJ | |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | 200501588 | NC | |
| Neurology Physician | 2084N0400X | MD430879 | PA |
Addresses
Primary practice location
201 Lyons Ave # F4
Newark, NJ 07112-2027
Mailing address
201 Lyons Ave # F4
Newark, NJ 07112-2027
Phone (386) 748-3994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150908001290 | NJ | Practitioner - Neurology | 8820181571 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Barnabas Health Medical Group PC
Practice addresses (Care Compare)
166 Lyons Ave
Newark, NJ 07112-2016
201 Lyons Ave
Newark, NJ 07112-2027
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Hospital & facility affiliations
- Newark Beth Israel Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.51 of 100
- Quality
- 84.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 108915 | FL | MD | Neurology Physician |
| 2005-01588 | NC | MD | Neurology Physician |
| 25MA09591000 | NJ | MD | Clinical Neurophysiology Physician |
| MD430879 | PA | MD | Clinical Neurophysiology Physician |
| 200501588 | NC | MD | Sleep Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Associates of New Jersey Inc | Current | Accepting new patients | |
| University Physician Associates of New Jersey Inc | Neurology | Current | Accepting new patients |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Prospect Health Access Network, Inc. | Past | Accepting new patients | |
| Health Access Network | Past | Accepting new patients |
Locations
355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
235 Millburn Ave
Ste 101
Millburn, NJ 07041
Phone (973) 376-8034
201 Lyons Ave
#F4
Newark, NJ 07112
Phone (973) 926-7331
90 Bergen St
#8100
Newark, NJ 07103
Phone (973) 972-2323
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
30 Bergen St
Rm 1205
Newark, NJ 07107
Phone (973) 972-0037
166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300
3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949
Interoperability endpoints
- ktabbarah120239@epicdirect.rwjbh.org
Organizations & group practices 6
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.
-
- Neurology Physician
- Newark, NJ
- NPI 1902816507
Neurology, NJ
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
-
- Internal Medicine Physician
- Newark, NJ
- NPI 1760492367
-
- Physical Medicine & Rehabilitation Physician
- Chester, PA
- NPI 1356460380
-
- Gynecologic Oncology Physician
- Chester, PA
- NPI 1134574775
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1215027966
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1962524975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 LYONS AVE # F4",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071122027",
"telephone_number": "386-748-3994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 LYONS AVE # F4",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071122027",
"telephone_number": "973-926-7331",
"fax_number": "973-926-2997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABBARAH",
"first_name": "KHALID",
"middle_name": "ZUHAYR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2022-02-09",
"certification_date": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NJ",
"license": "25MA09591000",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NC",
"license": "2005-01588",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME 108915",
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "PA",
"license": "MD430879",
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "NC",
"license": "2005-01588",
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "NJ",
"license": "25MA09591000",
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "NJ",
"license": "25MA09591000",
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "NC",
"license": "200501588",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MD430879",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.