Kelli Mayo Danowski, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25MB09622700 Issued in NJ

Practice address

525 Route 73 S Ste 305a
Marlton, NJ 08053-9644

Phone

(856) 420-6070

Fax

(870) 890-4610

NPI assigned

Apr 1, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Dr. Kelli L Mayo Former name

Electronic endpoints 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kdanowski@danowskidermatology.ezderm.info

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.

• Schweiger Dermatology, PC

  • Dermatology Physician
  • Elmer, NJ
  • NPI 1104229392
  Medicare reassignment NPD
• Danowski Dermatology LLC

  • Dermatology Physician
  • Marlton, NJ
  • NPI 1326649716
  Authorized official Same address or phone
• NJ Certified Dermatology PC

  dba Dedicated Dermatology

  • Dermatology Physician
  • Allentown, PA
  • NPI 1326496241
  NPD (past)

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1508155300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 S STE 305A",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539644",
            "telephone_number": "856-420-6070",
            "fax_number": "870-890-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 S STE 305A",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539644",
            "telephone_number": "856-420-6070",
            "fax_number": "870-890-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANOWSKI",
        "first_name": "KELLI",
        "middle_name": "MAYO",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-01",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "OS018143",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MB09622700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1508155300",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "25MB09622700",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OS018143",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01701913",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdanowski@danowskidermatology.ezderm.info",
            "affiliation": "Y",
            "endpointDescription": "Direct Address",
            "affiliationName": "Danowski Dermatology LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "525 Route 73 S Ste 305A",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080539644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdanowski@danowskidermatology.ezderm.info",
            "affiliation": "Y",
            "affiliationName": "Danowski Dermatology LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "525 Route 73 S Ste 305A",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080539644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdanowski@danowskidermatology.ezderm.info",
            "affiliation": "Y",
            "affiliationName": "Danowski Dermatology LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "525 Route 73 S Ste 305A",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080539644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "MAYO",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Grace Andrada Danganan, APN
• Daniel J. Ragone, Jr, MD, PA
• Joseph Daniel, DO
• Ari Daniels
• Danowski Dermatology LLC
• Mariama Daramy, NURSE PRACTITIONER
• Barbara M. Darcy, RD
• Arthur Dash, LCSW
• Natasha Rachel Davalt
• Karen B Davenport, PH.D.

• Dermatology Physician in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.