NPIMap

Individual provider Active NPI

Dennis Hughes Kelly III, MD

  • Interventional Cardiology Physician
  • North Bergen, NJ
National Provider Identifier
1417947748
Registry record updated Sep 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MA74287 Issued in NJ
Practice address
7704 Marine Rd
North Bergen, NJ 07047-6203
Phone
(201) 869-1313
Fax
(201) 854-7945
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA74287 NJ
Cardiovascular Disease Physician 207RC0000X MA74287 NJ
Interventional Cardiology Physician 207RI0011X MA74287 NJ Primary

Addresses

Primary practice location

7704 Marine Rd
North Bergen, NJ 07047-6203

Mailing address

7704 Marine Rd
North Bergen, NJ 07047-6203
Phone (201) 869-1313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050909000270 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8729010897 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Rutgers New Jersey Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

24 Elm St
Harrington Park, NJ 07640-1902
Phone (201) 451-1601

350 Engle S
5TH FL Room 5518
Englewood, NJ 07631-1808
Phone (201) 568-5250

350 Engle St
Englewood, NJ 07631-1808

350 Engle St Main
Suite 256
Englewood, NJ 07631-1808
Phone (201) 894-3364

7650 River Rd
Suite 300
North Bergen, NJ 07047-6527
Phone (201) 224-8831

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA74287NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2022 Accepting new patients
Humc Cardiovascular Partners, PC Cardiovascular Disease CurrentSince Apr 1, 2016 Accepting new patients
Medical Associates of Englewood, PC Internal Medicine CurrentSince Mar 1, 2013 Accepting new patients
Palisades Cardiology Services PA Cardiovascular Disease CurrentSince Jan 1, 2008 Accepting new patients
MPV New Jersey MD Services PC CurrentSince Jan 1, 2022 Accepting new patients
MPV New Jersey MD Services PC CurrentSince Jan 1, 2022 Accepting new patients
Englewood Medical Associates Inc Past Accepting new patients
Englewood Medical Associates, Inc Internal Medicine Past Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Internal Medicine Past Accepting new patients

Locations

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

200 Grand Ave
Ste 202
Englewood, NJ 07631
Phone (201) 541-1220

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

7650 River Rd
Ste 300
North Bergen, NJ 07047
Phone (201) 224-8831

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

1 Marine Plz
Ste 100
North Bergen, NJ 07047
Phone (201) 868-9040

Interoperability endpoints

  • Direct secure messaging: dkelly471206@ahs.direct-ci.com
  • Direct secure messaging: dennis.kelly@direct.hackensackmeridian.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 10

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504656000000",
    "number": "1417947748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7704 MARINE RD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476203",
            "telephone_number": "201-869-1313",
            "fax_number": "201-854-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7704 MARINE RD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476203",
            "telephone_number": "201-869-1313",
            "fax_number": "201-854-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "DENNIS",
        "middle_name": "HUGHES",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2017-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA74287",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA74287",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "MA74287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

Verify at the official NPI Registry.