NPI Details
John Kelly, MD is an internal medicine in Bloomfield, NJ with 41 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. John Kelly, MD NPI is 1265540686. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
382 W PASSAIC AVE
BLOOMFIELD, NJ
ZIP 07003-552
Phone: (973) 338-1900
Fax: (973) 761-0112
The NPI 1265540686 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 31D0673797 - physician office with a certificate type of Certificate of Waiver.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
- Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
- Urinalysis, manual test (HCPCS:81002)
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
- Annual depression screening, 15 minutes (HCPCS:G0444)
- Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
- Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Injection of drug or substance under skin or into muscle (HCPCS:96372)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
- Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
- Hospital discharge day management, more than 30 minutes (HCPCS:99239)
- Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
- Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
- Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
- Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
- Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
- Influenza vaccine split virus, preservative free (HCPCS:90662)
- Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Transitional care management services for problem of high complexity (HCPCS:99496)
- Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
- Removal of impacted ear wax (HCPCS:69210)
- X-ray of chest, 2 views (HCPCS:71046)
- Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
- Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
- Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
The enumeration date for this NPI number is 8/27/2006 and was last updated on 8/21/2013.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207R00000X | Internal Medicine | | MA51866 | NEW JERSEY | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | E13169 | MEDICARE UPIN | NEW JERSEY | |
| 2 | 143251 | MEDICARE ID-TYPE UNSPECIFIED | NEW JERSEY | |
| 3 | 1753606 | MEDICAID | NEW JERSEY | |
