John V. Kelly MD, PC
NPI 1417065830ActiveOrganization· Internal Medicine· Bloomfield, NJ
Internal Medicine in Bloomfield, New Jersey, registered in NPPES in August 2006. The authorized official on file is John Kelly, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417065830 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 27, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
Other Internal Medicine providers in Bloomfield
- 1770107500
- 1811210131
- 1265553044
- 1710431291
- 1023524550
- 1164755666
- 1194020545
- 1649478322
- 1720387152
- 1174704522
- 1184228421
- 1275560195