Active NPI
Kelli Brady, DDS
- Dentist
- Norwood, NJ
National Provider Identifier
1336330265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 052785
- Practice address
- 510 Broadway
Norwood, NJ 07648-1304 - Phone
- (201) 768-5553
- NPI assigned
- Aug 6, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 052785 | NJ | Primary |
Addresses
Primary practice location
510 Broadway
Norwood, NJ 07648-1304
Mailing address
510 Broadway
Norwood, NJ 07648-1304
Phone (201) 768-5553
Other practice location 1
155 W 68th St Apt 227
New York, NY 10023-5824
Phone (212) 501-9696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052785 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael B. Stein, DMD, PC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Stamford, CT
- NPI 1649219072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1336330265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 BROADWAY",
"city": "NORWOOD",
"state": "NJ",
"postal_code": "076481304",
"telephone_number": "201-768-5553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 BROADWAY",
"city": "NORWOOD",
"state": "NJ",
"postal_code": "076481304",
"telephone_number": "201-768-5553"
}
],
"practiceLocations": [
{
"address_1": "155 W 68th St Apt 227",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100235824",
"country_code": "US",
"telephone_number": "212-501-9696",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRADY",
"first_name": "KELLI",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-06",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "052785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.