Mary M Kelly (NPI# 1972691079, PAC ID# 4486748423) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1972691079 |
| PAC ID by PECOS | 4486748423 |
| Professional Enrollment ID | I20070920000736 |
| Full Name | Mary M Kelly |
| Organization Legal Name | HACKENSACK UNIVERSITY MEDICAL GROUP PC |
| Address |
116 Terrace Ave Lodi NJ 07644-2905 |
| Phone Number | 9734733896 |
| Gender | F |
| Graduation Year | 1997 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9133032519 |
| Number of Group Practice Members | 304 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310001 | HACKENSACK UNIVERSITY MEDICAL CENTER |
| 310045 | ENGLEWOOD HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 116 Terrace Ave, Lodi, NJ 07644-2905 | 9734733896 | HACKENSACK UNIVERSITY MEDICAL GROUP PC |
| Organization Legal Name | HACKENSACK UNIVERSITY MEDICAL GROUP PC |
| Physicians | 276 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Colette Monique Knight | Endocrinology | Hackensack University Medical Group PC | 150 Overlook Ave, Hackensack, NJ 07601-2206 |
| Claudia Danitza Miranda | Internal Medicine | Hackensack University Medical Group PC | 480 Market St, Saddle Brook, NJ 07663-5932 |
| Meghan E Tozzi | Pediatric Medicine | Hackensack University Medical Group PC | 155 Polifly Rd, Hackensack, NJ 07601-1758 |
| Michael Degen | Urology | Hackensack University Medical Group PC | 360 Essex St, Hackensack, NJ 07601-8550 |
| Timothy S Kowal | Internal Medicine | Hackensack University Medical Group PC | 321 Summit Ave, Hackensack, NJ 07601-1429 |
| Jesus R Alvarez Perez | Obstetrics/gynecology | Hackensack University Medical Group PC | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Edward L Farkas | Psychiatry | Hackensack University Medical Group PC | 87 Rte 17, Maywood, NJ 07607 |
| Paarth Raj | Emergency Medicine | Hackensack University Medical Group PC | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Danit Arad | Internal Medicine | Hackensack University Medical Group PC | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Ekram Mohsen | General Surgery | Hackensack University Medical Group PC | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Street Address |
116 TERRACE AVE |
| City | LODI |
| State | NJ |
| Zip | 07644-2905 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kamal K Dutta | Obstetrics/gynecology | 426 Passaic Ave, Lodi, NJ 07644-1534 | |
| Robin L Lustig | Chiropractic | 2 Arnot St, Suite 3, Lodi, NJ 07644-1629 | |
| Anne E Coffey | Chiropractic | Lustig Healing Arts LLC | 2 Arnot St, Suite 3, Lodi, NJ 07644-1629 |
| Maria A Ramos | Internal Medicine | 147 Main St, Suite 6, Lodi, NJ 07644-1717 | |
| Michael J Repasy | Physical Therapy | 4 Hunter St, Lodi, NJ 07644-1719 | |
| Ciro J Carafa | Internal Medicine | 120 S Main St, Lodi, NJ 07644-2204 | |
| Med Myra Mangcoy | Physical Therapy | Rinj, Pa | 1 S Main St, Suite 1, Lodi, NJ 07644-2235 |
| Ryan Heinz | Chiropractic | Rinj, Pa | 1 S Main St, Suite 1, Lodi, NJ 07644-2235 |
| Thoams C.a. Cattafi | Chiropractic | Rinj, Pa | 1 S Main St, Suite 1, Lodi, NJ 07644-2235 |
| Robert A Siconolfi | Chiropractic | Rinj, Pa | 1 S Main St, Suite 1, Lodi, NJ 07644-2235 |
| Find all physicians in zip 07644 | |||
| City | LODI |
| Zip Code | 07644 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LODI + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mary M Kelly.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.