Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Neil M Kheterpal, DO

Individual provider Gastroenterology Physician · NPI 1609891415

Neil M Kheterpal, DO is a Gastroenterology in Hackensack, New Jersey. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2003, 23 years ago. Practices with North Carolina Mg LLC, a 712-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and New York.

Years since qualifying
23
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NJ, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

20 Prospect Ave Ste 715
Hackensack, NJ 07601-1997
Phone: (201) 881-0721
Fax: (201) 881-0725
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2417 Atrium Dr Ste 150, Raleigh, NC 27607-6673 — (919) 791-2040

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 25MB08320000 (NJ)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 270700 (NY)

Record details

NPI number1609891415
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 13, 2006
Last updated in NPPESJuly 21, 2022
Mailing address452 Old Hook Rd, 2nd Floor, Emerson, NJ 07630-1381

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2003 (23 years in practice)
Group practice North Carolina Mg Llc — 712 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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