Active NPIIndividual provider

Mr. Khalid Tellis

Social Worker in South Orange, New Jersey

NPI Number1063350932
Practice location
111 S Orange Ave Ste 24, South Orange, NJ 07079-1931
Fax
—
Last updated
April 4, 2026

Khalid Tellis is a Social Worker based in South Orange, NJ. Khalid Tellis practices in South Orange, NJ. The NPI Number for Khalid Tellis is 1063350932 and holds a License No. 44SL07297400 (NJ). The current practice location address for Khalid Tellis is 111 S Orange Ave Ste 24, South Orange, NJ 07079-1931 and can be reached out via phone at 973-436-6605.

Provider Profile Details

NPI Number
1063350932
Provider Name
Khalid Tellis
Provider Entity Type
Individual
Gender
Male
Address
111 S Orange Ave Ste 24, South Orange, NJ 07079-1931
Phone Number
973-436-6605
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Provider Enumeration Date
March 23, 2026
Last Update Date
April 4, 2026
Certification Date
April 4, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 S Orange Ave Ste 24
South Orange, NJ 07079-1931
Zip
07079-1931
Phone Number
973-436-6605
South Orange, NJ 07079Get directions →

Provider Business Mailing Address Details

Address
71 Norman RD
Newark, NJ 07106-2808
City
Newark
State
NJ
Zip
07106-2808

License Information

License Number
44SL07297400
License State
NJ
Taxonomy
Social Worker · 104100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Khalid Tellis?

The NPI number of Mr. Khalid Tellis is 1063350932. It was assigned on March 23, 2026 and is currently active in the NPPES registry.

What is the specialty of Mr. Khalid Tellis?

Mr. Khalid Tellis is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NJ under license number 44SL07297400.

Where does Mr. Khalid Tellis practice?

The practice location is 111 S Orange Ave Ste 24, South Orange, NJ 07079-1931. The office can be reached at 973-436-6605 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063350932 directly on the NPPES registry website.

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