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NAMI KHULUSI MD LLC
NPI 1417092776
Internal Medicine in Englishtown, NJ

Active since February 21, 2007
74 US HIGHWAY 9, ENGLISHTOWN, NJ 07726(718) 819-2920(718) 819-2923 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nami Khulusi Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NAMI KHULUSI MD LLC (NPI 1417092776) is a healthcare organization registered as an internal medicine in Englishtown, New Jersey and active in the NPI registry since February 2007. The organization lists Eileen Kenny, Off. Mgr., as its authorized official.

NPPES Registry Identity

NPI1417092776
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNAMI KHULUSI MD LLC
Location Address74 US HIGHWAY 9Englishtown, NJ 07726-9209
Mailing Address74 Route 9 NorthEnglishtown, NJ 07726 · (718) 819-2920 · Fax (718) 819-2923
Phone(718) 819-2920
Fax(718) 819-2923
Organization SubpartNo
Authorized OfficialEileen KennyOff. Mgr. · (718) 819-2920
Enumeration DateFebruary 21, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1417092776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA06313900
Definition
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.
74 US HIGHWAY 9, Englishtown, NJ 07726
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nami Khulusi Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20070223000281Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nami Khulusi MD LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nami Khulusi, M.D.
Internal Medicine
NPI 1841361771
615 HOPE RD BLDG 2A
Eatontown, NJ 07724
(848) 456-4485
✔ PECOS✔ Accepts Medicare11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nami Khulusi MD LLC's NPI number?

The NPI number for Nami Khulusi MD LLC is 1417092776. It was assigned to this organization in the NPPES registry on February 21, 2007.

Where is Nami Khulusi MD LLC located?

Nami Khulusi MD LLC is located at 74 Us Highway 9, Englishtown, NJ 07726. The listed phone number is (718) 819-2920.

What is Nami Khulusi MD LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nami Khulusi MD LLC enrolled in Medicare?

Yes. Nami Khulusi MD LLC is registered in the Medicare PECOS enrollment system.

When is Nami Khulusi MD LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Nami Khulusi MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Nami Khulusi MD LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nami Khulusi MD LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.