Individual provider Active NPI

Jeanne M. Kilroy, MSN, NP

  • Family Nurse Practitioner
  • Little Falls, NJ
National Provider Identifier
1467673483
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25MA03690100 Issued in NJ
Practice address
275 Patterson Avenue
1St Floor
Little Falls, NJ 07424
Phone
(973) 785-3334
Fax
(973) 785-7760
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 25MA03690100 NJ Primary

Addresses

Primary practice location

275 Patterson Avenue
1St Floor
Little Falls, NJ 07424

Mailing address

275 Patterson Avenue
1St Floor
Little Falls, NJ 07424
Phone (973) 785-3334

Other identifiers 1

IdentifierTypeStateIssuer
0225410MedicaidNJ

Other names 1

  • Jeanne M Morris Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100513000514 NJ Practitioner - Nurse Practitioner 4486782349 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
25MA03690100NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC CurrentSince Oct 1, 2016 Accepting new patients

Locations

22-18 Broadway
Ste 201
Fair Lawn, NJ 07410

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

183 Illinois Ave
Paterson, NJ 07503
Phone (973) 523-3400

1225 McBride Ave
Ste 200
Woodland Park, NJ 07424
Phone (973) 256-5557

Interoperability endpoints

  • Direct secure messaging: jkilroy236796@direct.englewoodhealth.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274659200000",
    "number": "1467673483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 PATTERSON AVENUE",
            "address_2": "1ST FLOOR",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "07424",
            "telephone_number": "973-785-3334",
            "fax_number": "973-785-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 PATTERSON AVENUE",
            "address_2": "1ST FLOOR",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "07424",
            "telephone_number": "973-785-3334",
            "fax_number": "973-785-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILROY",
        "first_name": "JEANNE",
        "middle_name": "M.",
        "credential": "MSN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2010-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "25MA03690100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0225410",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNE",
            "last_name": "MORRIS",
            "middle_name": "M",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Little Falls, NJ

Sources for this page

Verify at the official NPI Registry.