JULIE M KELLER, MD, LLC (NPI# 1679900302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679900302 |
| Entity Type | Organization |
| Organization Name | JULIE M KELLER, MD, LLC |
| Other Organization Name | RESTORATION ORTHOPAEDICS |
| Practice Address |
113 W Essex St Suite 201 Maywood NJ 07607-1020 |
| Practice Telephone | 2012260145 |
| Practice Fax Number | 2012260147 |
| Mailing Telephone | 2012260145 |
| Mailing Fax Number | 2012260147 |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2015-07-10 |
| Authorized Official Name | DR. JULIE M KELLER (OWNER) |
| Authorized Official Telephone | 6463733638 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 25MA08801100 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | MEDICARE DME PTAN | 7338860001 | 01 |
| Other Name | Type Code |
|---|---|
| Restoration Orthopaedics | Doing Business As Name - Organization |
| Street Address |
113 W ESSEX ST SUITE 201 |
| City | MAYWOOD |
| State | NJ |
| Zip Code | 07607-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932190386 | Stephen R Lindholm | Orthopaedic Surgery | 113 W Essex St, Suite 201, Maywood, NJ 07607-1023 | 2005-11-03 |
| 1841858024 | Vanguard Asc, LLC | Clinic/Center | 113 W Essex St, Maywood, NJ 07607-1023 | 2019-06-03 |
| 1336682202 | Richard Kim M D LLC | Plastic Surgery | 113 W Essex St, Suite 203, Maywood, NJ 07607-1023 | 2016-11-28 |
| 1003367558 | Robert Marriott Medical Corp | Surgery | 113 W Essex St, Maywood, NJ 07607-1023 | 2016-10-19 |
| 1154877678 | Ankle & Foot Institute PC | Orthopaedic Surgery | 113 W Essex St, Suite 203, Maywood, NJ 07607-1023 | 2016-08-26 |
| 1609236744 | Carleen Implicito | Acupuncturist | 113 W Essex St, Suite 203, Maywood, NJ 07607-1023 | 2016-03-02 |
| 1215311022 | Aesthetic and Reconstructive Hand Surgeons LLC | Plastic Surgery | 113 W Essex St, Suite 202, Maywood, NJ 07607-1020 | 2015-07-13 |
| 1568855948 | Vanguard Physical Therapy | Clinic/Center | 113 W Essex St, Suite 203, Maywood, NJ 07607-1020 | 2015-03-10 |
| 1396164653 | Lighthouse Anesthesia Partners LLC | Anesthesiology | 113 W Essex St, Ste 201, Maywood, NJ 07607-1020 | 2014-04-15 |
| 1609205434 | Maywood Anesthesia Consultants LLC | Specialist | 113 W Essex St, Suite 201, Maywood, NJ 07607-1020 | 2013-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174057756 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 216 Cumming Avenue, Maywood, NJ 07607 | 2017-04-20 |
| 1689075475 | Fitness & Wellness of Hackensack | Dietitian, Registered | 137 Route 17 North, Maywood, NJ 07607 | 2014-09-11 |
| 1700285707 | Yun-hyeang Stella Jang | Social Worker | 87 Route 17, Suite 1-118, Maywood, NJ 07607 | 2014-08-15 |
| 1447659354 | Bonnie Lyn Freirich | Social Worker | 87 Route 17 North, Maywood, NJ 07607 | 2014-08-15 |
| 1720344351 | Nurse Practitioner Professional Services Inc | Nurse Practitioner | 100 West Magnolia Avenue, Maywood Center for Health & Rehabilitation, Maywood, NJ 07607 | 2012-04-09 |
| 1689960676 | Douglas Jay Saphier | Psychiatry & Neurology | 87 Rte 17 N, Maywood, NJ 07607 | 2011-06-28 |
| 1275764581 | Nayana Parekh | Internal Medicine | 113 W Essex St Ste 204, Maywood, NJ 07607 | 2009-08-04 |
| 1205078946 | Total Physical Therapy, LLC. | Physical Therapist | 25 E. Spring Valley Ave, Suite 190, Maywood, NJ 07607 | 2009-03-26 |
| 1619141918 | Vincent C Okabekwa | Psychiatry & Neurology | 87 Route 17 N, Maywood, NJ 07607 | 2008-04-17 |
| 1710045588 | Harold Hugh Gardy | Dentist | 61 W Pleasant Drive, Maywood, NJ 07607 | 2006-12-05 |
| Find all providers in zip 07607 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
| 1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
| 1821067588 | Paul D Belich | Orthopaedic Surgery | 2160 S 1st Ave Bldg 105-1700, Maywood, IL 60153-3328 | 2006-03-15 |
| 1932190386 | Stephen R Lindholm | Orthopaedic Surgery | 113 W Essex St, Suite 201, Maywood, NJ 07607-1023 | 2005-11-03 |
| 1841819091 | Hector Castillo | Orthopaedic Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-04-08 |
| 1841827037 | Ashley Elizabeth Macconnell | Orthopaedic Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-03-26 |
| 1356978407 | Ryan Leduc | Orthopaedic Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-03-26 |
| 1710514039 | Aaron Kyle Hoyt | Orthopaedic Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-03-25 |
| 1588227862 | Steven Denyer | Orthopaedic Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-04-22 |
| 1639630197 | Joseph James Krob | Orthopaedic Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-03-27 |
| Find all providers in MAYWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.