Patrick Kelly, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00479000 Issued in NJ

Practice address

807 Franklin Ave
Franklin Lakes, NJ 07417-1372

Phone

(201) 891-5599

Fax

(201) 891-8404

NPI assigned

Dec 14, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kelly Chiropractic Wellness Center PC

  • Chiropractor
  • Chester, NY
  • NPI 1790937365
  Medicare reassignment NPD Authorized official
• Chiropractic Family & Sports Injury Center

  dba Alfonse de Maria

  • Chiropractor
  • Franklin Lakes, NJ
  • NPI 1093989386
  NPD (past)

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326023169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 GREGORY DR",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109241014",
            "telephone_number": "845-294-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 FRANKLIN AVE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171372",
            "telephone_number": "201-891-5599",
            "fax_number": "201-891-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00479000",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "XO11238-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayal Medical Group, LLC (Kayal Orthopaedic Center)
• Kayal Orthopaedic Center, P.C.
• Michael George Kayal, RPA-C
• Robert Albert Kayal, MD
• Mariya Kelly
• Janet Kilroe, OPTICIAN
• Michael Kim
• Stephanie Ellen Kintzing, APN, WHNP
• Heerina Patel Kittel, DNP, AGNP-BC
• Paul Kovatis, MD

• Chiropractor in Franklin Lakes, NJ
• Providers in Franklin Lakes, NJ by specialty
• Chiropractor in New Jersey

• 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.
• 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.