Mohamad Souleiman Khalil, APN | |
60 Skyline Dr, Ringwood, NJ 07456-2039 | |
(973) 962-4068 | |
Not Available |
Full Name | Mohamad Souleiman Khalil |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 60 Skyline Dr, Ringwood, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508263377 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 26NJ00524100 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Morristown Medical Center | Morristown, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Passaic River Observation, Llc | 0143617126 | 12 |
Practice Associates Medical Group | 5890703177 | 1174 |
Entity Name | St Josephs Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497791297 PECOS PAC ID: 9739171984 Enrollment ID: O20040330001612 |
Entity Name | Practice Associates Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690 |
Entity Name | St. Joseph's Emergency Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568791192 PECOS PAC ID: 5092996181 Enrollment ID: O20110223000002 |
Entity Name | Valley Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467815928 PECOS PAC ID: 3577857333 Enrollment ID: O20160802002824 |
Entity Name | St Josephs Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205425519 PECOS PAC ID: 8628470325 Enrollment ID: O20210716000520 |
Entity Name | Passaic River Observation, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568113348 PECOS PAC ID: 0143617126 Enrollment ID: O20220421000141 |
Mailing Address | Practice Location Address |
---|---|
Mohamad Souleiman Khalil, APN 40 Conger St Apt 1509a, Bloomfield, NJ 07003-3339 Ph: () - | Mohamad Souleiman Khalil, APN 60 Skyline Dr, Ringwood, NJ 07456-2039 Ph: (973) 962-4068 |
Melissa Tully, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60 Skyline Dr, Ringwood, NJ 07456 Phone: 973-962-4000 |