Dr Nicholas Kelley, DMD, MSD - Medicare Dentist in Newark, NJ

Dr Nicholas Kelley, DMD, MSD is a medicare enrolled "Dentist - Orthodontics And Dentofacial Orthopedics" provider in Newark, New Jersey. His current practice location is 201 Lyons Ave, Newark, New Jersey. You can reach out to his office (for appointments etc.) via phone at (609) 315-4324.

Dr Nicholas Kelley is licensed to practice in New York (license number 060827) 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 1629431960.

Contact Information

Dr Nicholas Kelley, DMD, MSD
201 Lyons Ave,
Newark, NJ 07112-2027
(609) 315-4324
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Nicholas Kelley
GenderMale
SpecialityDentist - Orthodontics And Dentofacial Orthopedics
Location201 Lyons Ave, Newark, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629431960
  • Provider Enumeration Date: 04/04/2016
  • Last Update Date: 10/10/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2668804402
  • Enrollment ID: I20191115000704

Medical Identifiers

Medical identifiers for Dr Nicholas Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629431960NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 060827 (New York)Primary

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 Nicholas 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 Nicholas Kelley, DMD, MSD
418 Birdwood Ave,
Haddonfield, NJ 08033-1111

Ph: (609) 315-4324
Dr Nicholas Kelley, DMD, MSD
201 Lyons Ave,
Newark, NJ 07112-2027

Ph: (609) 315-4324

Reviews and Comments


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