Active NPI
Yousef Khalil
- Basic Emergency Medical Technician
- Paterson, NJ
National Provider Identifier
1992102750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- 101756
- Practice address
- 102 Bloomfield Ave
Paterson, NJ 07503-2434 - Phone
- (862) 324-5710
- NPI assigned
- Nov 21, 2014
- 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 |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 101756 | NJ | Primary |
Addresses
Primary practice location
102 Bloomfield Ave
Paterson, NJ 07503-2434
Mailing address
102 Bloomfield Ave
Paterson, NJ 07503-2434
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101756 | NJ | MD | Basic Emergency Medical Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imedix Transportation Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Non-emergency Medical Transport (VAN)
- Paterson, NJ
- NPI 1003218967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416528000000",
"number": "1992102750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 BLOOMFIELD AVE",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075032434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 BLOOMFIELD AVE",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075032434",
"telephone_number": "862-324-5710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHALIL",
"first_name": "YOUSEF",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-21",
"last_updated": "2014-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "NJ",
"license": "101756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.