John Kelly, MD | |
382 W Passaic Ave, Bloomfield, NJ 07003-5552 | |
(973) 338-1900 | |
(973) 761-0112 |
Full Name | John Kelly |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 39 Years |
Location | 382 W Passaic Ave, Bloomfield, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265540686 | NPI | - | NPPES |
1753606 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MA51866 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Patient Care | West orange, NJ | Home health agency |
Patient Care | Clifton, NJ | Home health agency |
Barnabas Health Home Care And Hospice | West orange, NJ | Home health agency |
Barnabas Health Home Care And Hospice | West orange, NJ | Hospice |
Clara Maass Medical Center | Belleville, NJ | Hospital |
St Joseph's Hospital And Medical Center | Paterson, NJ | Hospital |
Alaris Health At Cedar Grove | Cedar grove, NJ | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
John V Kelly Md Pc | 9638106891 | 4 |
Entity Name | John V Kelly Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417065830 PECOS PAC ID: 9638106891 Enrollment ID: O20050722000051 |
Mailing Address | Practice Location Address |
---|---|
John Kelly, MD 382 W Passaic Ave, Bloomfield, NJ 07003-5552 Ph: (973) 338-1900 | John Kelly, MD 382 W Passaic Ave, Bloomfield, NJ 07003-5552 Ph: (973) 338-1900 |
Dr. Shrenik G Shah, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 55 W Passaic Ave, Bloomfield, NJ 07003 Phone: 973-338-8059 Fax: 973-338-6013 | |
Dr. Louis J. Petracca, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 332 Bloomfield Ave, Bloomfield, NJ 07003 Phone: 973-429-9225 Fax: 973-566-0973 | |
Dr. Richard Leon Podkul, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1064 Broad St, Bloomfield, NJ 07003 Phone: 973-893-0282 Fax: 973-893-0612 | |
Dr. Marco Tartaglia, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 20 Watsessing Ave, Bloomfield, NJ 07003 Phone: 973-364-0888 Fax: 973-364-0889 | |
Chelsea Marie Covino, PA-C Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 322 Glenwood Ave, Bloomfield, NJ 07003 Phone: 973-929-7600 | |
Dr. Catalino Lozano Delacruz Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 135 Bloomfield Ave, Suite B, Bloomfield, NJ 07003 Phone: 973-743-2248 Fax: 973-743-0688 |