| 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 | 40 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 |
| 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 |
| 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 | 5 |
| 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: May Accept Medicare Assignments 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 |