WALEED KHALIL (NPI# 1700879723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700879723 |
| Entity Type | Individual |
| Full Name | WALEED KHALIL |
| Credential | PA |
| Practice Address |
70 Dubois St Newburgh NY 12550-4851 |
| Mailing Address |
484 Temple Hill Rd Suite 102 New Windsor NY 12553-0000 |
| Practice Telephone | 8455682305 |
| Mailing Telephone | 8455653700 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 009992 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02651141 | 05 |
| Street Address |
70 DUBOIS ST |
| City | NEWBURGH |
| State | NY |
| Zip Code | 12550-4851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598307985 | Jennifer Decker | Occupational Therapist | 70 Dubois St, Newburgh, NY 12550-4851 | 2019-10-17 |
| 1689146003 | Denise Nicole Bambinelli | Speech-Language Pathologist | 70 Dubois St, Newburgh, NY 12550-4851 | 2018-12-24 |
| 1265949028 | Monika M Kapusniak | Nurse Anesthetist, Certified Registered | 70 Dubois St, Newburgh, NY 12550-4851 | 2018-01-03 |
| 1699289520 | Tin Wai Siu | Speech-Language Pathologist | 70 Dubois St, Newburgh, NY 12550-4851 | 2017-11-30 |
| 1487182283 | Ethan Levine | Physician Assistant | 70 Dubois St, Newburgh, NY 12550-4851 | 2017-05-24 |
| 1215390281 | Joseph Anthony Kaczmarek | Emergency Medicine | 70 Dubois St, Newburgh, NY 12550-4851 | 2016-03-29 |
| 1588068431 | Shella Frenel | General Acute Care Hospital | 70 Dubois St, Newburgh, NY 12550-4851 | 2014-10-21 |
| 1952702326 | Dubois Physician Services | Surgery | 70 Dubois St, Newburgh, NY 12550-4851 | 2014-09-04 |
| 1104254903 | Physician At Newburgh | Surgery | 70 Dubois St, Newburgh, NY 12550-4851 | 2013-10-15 |
| 1457697849 | Amy N Weart | Physical Therapist | 70 Dubois St, Newburgh, NY 12550-4851 | 2012-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986057 | Jennifer Lauren Steckenrider | Optometrist | 1201 Ny-300, Newburgh, NY 12550 | 2019-05-06 |
| 1386103125 | Dorian Kim Shann | Physical Therapist | 53 Ny-17k Suite 2, Newburgh, NY 12550 | 2019-03-19 |
| 1083186100 | Kimberly Ellen Vondras | Registered Nurse | 21-23 Grand Street, Newburgh, NY 12550 | 2018-12-31 |
| 1487144887 | Jenna Gaudio | Dentist | 1413 Union Ave, Newburgh, NY 12550 | 2018-05-11 |
| 1215431119 | Diane Gonzales | Counselor | 3 Commercial Place, Newburgh, NY 12550 | 2018-03-23 |
| 1386148740 | Cvs Albany LLC | Pharmacy | 203 South Plank Rd, Newburgh, NY 12550 | 2018-03-21 |
| 1063939510 | Paula A. Coloni | Social Worker | One Maguire Way Stewart Air National Guard Base, Newburgh, NY 12550 | 2017-08-25 |
| 1306362652 | Richard Malvey | Counselor | 172 Liberty Street, Newburgh, NY 12550 | 2017-08-18 |
| 1770008559 | Walgreen Co | Pharmacy | 59 N Plank Rd Ste 2, Newburgh, NY 12550 | 2017-08-14 |
| 1639691017 | Danielle Elizabeth Ingrassia | Behavioral Analyst | 8 Crestwood Ct., Newburgh, NY 12550 | 2017-07-07 |
| Find all providers in zip 12550 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724905 | Reagan Leach | Physician Assistant | 4333 Bell Rd Unit 707, Newburgh, IN 47630-8114 | 2020-03-09 |
| 1871148627 | Lucas Ryan Keck | Physician Assistant | 319 Edgewater Dr, Newburgh, IN 47630-0010 | 2019-08-08 |
| 1518167931 | Hudson Valley Medical House Calls, P.C. | Physician Assistant | 685 South St, Newburgh, NY 12550-4117 | 2007-07-23 |
| 1558326405 | Steven G Sweitzer | Physician Assistant | 330 Powell Ave, Newburgh, NY 12550-3412 | 2006-04-20 |
| 1225028210 | Jonathan Green | Physician Assistant | 10444 Sr 66 N, Newburgh, IN 47630-7954 | 2005-10-21 |
| 1366085789 | Samantha Dillman | Physician Assistant | 4199 Gateway Blvd, Newburgh, IN 47630-8940 | 2019-10-18 |
| 1558912790 | Heidi Hendryx | Physician Assistant | 4055 Gateway Blvd, Newburgh, IN 47630 | 2019-09-27 |
| 1447806179 | Elizabeth Moore | Physician Assistant | 100 St Marys Epworth Xing Ste B100, Newburgh, IN 47630-9161 | 2019-08-19 |
| 1629423041 | Eric A Sadler | Physician Assistant | 4015 Gateway Blvd, Ste 2120, Newburgh, IN 47630-9460 | 2016-05-04 |
| 1588083778 | Sally Elizabeth Vanwinkle | Physician Assistant | 4233 Gateway Blvd, Newburgh, IN 47630-8900 | 2014-04-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.