DR. CHAZA KHALIL (NPI# 1982974739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982974739 |
| Entity Type | Individual |
| Full Name | DR. CHAZA KHALIL |
| Credential | M.D. |
| Practice Address |
1055 Hamburg Tpke Ste 200 Wayne NJ 07470-3235 |
| Mailing Address |
Po Box 416457 Boston MA 02241-6457 |
| Practice Telephone | 9732481440 |
| Practice Fax Number | 9732481448 |
| Mailing Telephone | 8443621735 |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2018-05-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 25MA09587100 | NJ | Allopathic & Osteopathic Physicians |
| N | 261Q00000X | Clinic/Center | 265909 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NY STATE LICENSE NUMBER | 265909 | 01 |
| Street Address |
1055 HAMBURG TPKE STE 200 |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-3235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881668325 | Stanley F. Bernstein | Internal Medicine | 1055 Hamburg Tpke Ste 200, Wayne, NJ 07470-3235 | 2006-02-13 |
| 1285154559 | Farisa Ali | Internal Medicine | 1055 Hamburg Tpke Ste 200, Wayne, NJ 07470-3235 | 2017-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487202354 | Candace Wang | Internal Medicine | 128 Bobolink Ct, Wayne, NJ 07470-8452 | 2019-09-03 |
| 1356865182 | Ch Aslam Enterprises Pllc | Internal Medicine | 34815 W Michigan Ave Ste 1, Wayne, MI 48184-1895 | 2017-08-02 |
| 1205284437 | Abhijit Kasinadhuni | Internal Medicine | 744 W Lancaster Ave Ste 225, Wayne, PA 19087-2557 | 2016-05-27 |
| 1316391907 | Stephanie Duarte | Internal Medicine | 1578 Rte 23 Ste 203, Wayne, NJ 07470-7516 | 2016-04-20 |
| 1487056008 | Madeeha Shahzadi | Internal Medicine | 401 Hamburg Tpke Ste 107, Wayne, NJ 07470-2139 | 2014-09-26 |
| 1821331653 | Michael S. Devine | Internal Medicine | 165 Ridgewood Rd, Wayne, PA 19087-2846 | 2013-03-29 |
| 1366710121 | Daniel George Baker | Internal Medicine | 7 Welwyn Rd, Wayne, PA 19087-3881 | 2011-12-08 |
| 1871885509 | Anuj Kapoor | Internal Medicine | 510 Hamburg Turnpike, Ste 101, Wayne, NJ 07470 | 2011-05-13 |
| 1578872776 | Stephan Joseph Dorkhom | Internal Medicine | 234 Hamburg Tpke Ste 202, Wayne, NJ 07470-2149 | 2010-10-05 |
| 1477869329 | Carl Friedman | Internal Medicine | 639 Colonel Dewees Rd, Wayne, PA 19087-1305 | 2010-08-28 |
| Find all providers in WAYNE | ||||
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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.