Dr Harley Daniel Kelley, MD - Medicare Pediatrics in Hackensack, NJ

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Dr Harley Daniel Kelley, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Hackensack, New Jersey. His current practice location is 30 Prospect Ave, Hackensack, New Jersey. You can reach out to his office (for appointments etc.) via phone at (551) 996-5362.

Dr Harley Daniel Kelley is licensed to practice in New Jersey (license number 25MA10873100) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174943914.

Contact Information

Dr Harley Daniel Kelley, MD
30 Prospect Ave,
Hackensack, NJ 07601-1915
(551) 996-5362
Not Available

Map and Direction




Physician's Profile

Full NameDr Harley Daniel Kelley
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location30 Prospect Ave, Hackensack, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174943914
  • Provider Enumeration Date: 04/20/2014
  • Last Update Date: 08/16/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2062788029
  • Enrollment ID: I20201102000521

Medical Identifiers

Medical identifiers for Dr Harley Daniel Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174943914NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine 25MA10873100 (New Jersey)Primary

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. Dr Harley Daniel Kelley allows following entities to bill medicare on his behalf.
Entity NameHackensack Meridian Health Medical Group - Specialty Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215989249
PECOS PAC ID: 9133032519
Enrollment ID: O20031111000524

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. Dr Harley Daniel Kelley 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
Dr Harley Daniel Kelley, MD
30 Prospect Ave,
Hackensack, NJ 07601-1915

Ph: (551) 996-5362		Dr Harley Daniel Kelley, MD
30 Prospect Ave,
Hackensack, NJ 07601-1915

Ph: (551) 996-5362

Reviews and Comments


Pediatrics Doctors in Hackensack, NJ

Jennifer Northridge, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 30 Prospect Ave, Hackensack, NJ 07601
Phone: 551-996-2237    
Joy L Tun, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 30 Prospect Ave, Hackensack, NJ 07601
Phone: 551-996-5430    Fax: 551-996-4919
Dr. Phillip I Ayeni, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 30 Prospect Ave, Pediatrics, Hackensack, NJ 07601
Phone: 201-996-2000    
Dr. Malkhazi Mikadze, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 30 Prospect Ave, Pediatrics Dept, Hackensack, NJ 07601
Phone: 201-996-2000    
Rose Ann Reyes Macalintal, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 134 Summit Ave, Hackensack, NJ 07601
Phone: 201-525-0077    
Gurpreet Phull,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 30 Prospect Ave, Hackensack, NJ 07601
Phone: 908-251-3250    
Shoshana Sophie Rothman Tell, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 30 Prospect Ave, Hackensack, NJ 07601
Phone: 551-996-5329    

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).

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