Mohamad Souleiman Khalil, APN - Medicare Nurse Practitioner in Ringwood, NJ

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Mohamad Souleiman Khalil, APN is a medicare enrolled "Nurse Practitioner" in Ringwood, New Jersey. He graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Passaic River Observation, Llc, Practice Associates Medical Group, St Josephs Medical Group Pc and his current practice location is 60 Skyline Dr, Ringwood, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 962-4068.

Mohamad Souleiman Khalil is licensed to practice in New Jersey (license number 26NJ00524100) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1508263377.

Contact Information

Mohamad Souleiman Khalil, APN
60 Skyline Dr,
Ringwood, NJ 07456-2039
(973) 962-4068
Not Available

Map and Direction




Provider's Profile

Full NameMohamad Souleiman Khalil
GenderMale
SpecialityNurse Practitioner
Experience12 Years
Location60 Skyline Dr, Ringwood, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mohamad Souleiman Khalil graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1508263377
  • Provider Enumeration Date: 11/21/2014
  • Last Update Date: 07/19/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 6800176488
  • Enrollment ID: I20161219000827

Medical Identifiers

Medical identifiers for Mohamad Souleiman Khalil such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508263377NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 26NJ00524100 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph's Hospital And Medical CenterPaterson, NJHospital
Morristown Medical CenterMorristown, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Passaic River Observation, Llc014361712615
Practice Associates Medical Group58907031771299
St Josephs Medical Group Pc8628470325199

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mohamad Souleiman Khalil allows following entities to bill medicare on his behalf.
Entity NameSt Josephs Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497791297
PECOS PAC ID: 9739171984
Enrollment ID: O20040330001612
Entity NamePractice Associates Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427016385
PECOS PAC ID: 5890703177
Enrollment ID: O20060330000690
Entity NameSt. Joseph's Emergency Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568791192
PECOS PAC ID: 5092996181
Enrollment ID: O20110223000002
Entity NameValley Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467815928
PECOS PAC ID: 3577857333
Enrollment ID: O20160802002824
Entity NameSt Josephs Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205425519
PECOS PAC ID: 8628470325
Enrollment ID: O20210716000520
Entity NamePassaic River Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962162644
PECOS PAC ID: 4486041514
Enrollment ID: O20220420000861
Entity NamePassaic River Observation, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568113348
PECOS PAC ID: 0143617126
Enrollment ID: O20220421000141

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mohamad Souleiman Khalil is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

Reviews and Comments


Nurse Practitioner Nurses in Ringwood, NJ

Melissa Tully, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 60 Skyline Dr, Ringwood, NJ 07456
Phone: 973-962-4000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.