John J Kelley Associates of Maryland LTD

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

JOHN J KELLEY ASSOCIATES OF MARYLAND LTD

Practice address

1107 Kenilworth Dr
Suite 310
Towson, MD 21204-2140

Phone

(410) 828-5628

Fax

(410) 828-5629

NPI assigned

Apr 8, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John J Kelley, BCONPI 1942374731

Title

President

Phone

(410) 828-5628

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John J Kelley Jr., BCO

  • Ocularist
  • Towson, MD
  • NPI 1942374731
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1174796551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 KENILWORTH DR",
            "address_2": "SUITE 310",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042140",
            "telephone_number": "410-828-5628",
            "fax_number": "410-828-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 KENILWORTH DR",
            "address_2": "SUITE 310",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042140",
            "telephone_number": "410-828-5628",
            "fax_number": "410-828-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J KELLEY ASSOCIATES OF MARYLAND LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-828-5628",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BCO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "761988000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sariyah Anisa Jessie
• Aleesha Jethra, MD
• Scarlett Karen Jett, PSYD
• Jin Gu MD PA
• Zelig Alan Joffe
• John Lavin, M.D.P.a.
• John R Bacon, MD, PA
• Johns Hopkins Community Physicians, Inc
• Johns Hopkins University
• Johns Hopkins University

• Prosthetic/Orthotic Supplier in Towson, MD
• Providers in Towson, MD by specialty
• Prosthetic/Orthotic Supplier in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.