Active NPI
William Scott Kelley, D.P.M.
- Foot Surgery Podiatrist
- Ramsey, NJ
National Provider Identifier
1043373384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- MD01285
- Practice address
- 35 S Spruce St FL 1
Ramsey, NJ 07446-2549 - Phone
- (201) 327-1115
- Fax
- (201) 327-4766
- NPI assigned
- Dec 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | MD01285 | NJ | Primary |
Addresses
Primary practice location
35 S Spruce St FL 1
Ramsey, NJ 07446-2549
Mailing address
35 S Spruce St FL 1
Ramsey, NJ 07446-2549
Phone (201) 327-1115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1743601 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD01285 | NJ | MD | Foot Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043373384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 S SPRUCE ST FL 1",
"city": "RAMSEY",
"state": "NJ",
"postal_code": "074462549",
"telephone_number": "201-327-1115",
"fax_number": "201-327-4766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 S SPRUCE ST FL 1",
"city": "RAMSEY",
"state": "NJ",
"postal_code": "074462549",
"telephone_number": "201-327-1115",
"fax_number": "201-327-4766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "WILLIAM",
"middle_name": "SCOTT",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NJ",
"license": "MD01285",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1743601",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ramsey, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.