Richard M Kelner, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

22DI00899901 Issued in NJ

Practice address

67 Walnut Ave Ste 307
Suite 1
Clark, NJ 07066-1687

Phone

(732) 587-6740

Fax

(732) 587-6741

NPI assigned

Mar 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kelnerperiollc

  • Periodontics
  • Clark, NJ
  • NPI 1205215050
  NPD (past) Authorized official

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1477513539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 WALNUT AVE STE 307",
            "address_2": "SUITE 1",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661687",
            "telephone_number": "732-587-6740",
            "fax_number": "732-587-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 WALNUT AVE STE 307",
            "address_2": "SUITE 1",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661687",
            "telephone_number": "732-587-6740",
            "fax_number": "732-587-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELNER",
        "first_name": "RICHARD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI00899901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karinja Psychotheraoy Assoc., Inc.
• Marie Frances Karinja, A.P.R.N.
• Maria A. Katalan, D.D.S.
• Kelner Periodontics
• Danielle Kelner, DMD
• Kelnerperiollc
• Kenneth Y. Eng, M.D., P.a.
• Kessler Rehabilitation
• Kenouz Khalil
• Grace Kim, PHARM.D.

• Periodontics in Clark, NJ
• Providers in Clark, NJ by specialty
• Periodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.