Active NPI
Julie Michelle Keller, MD
- Orthopaedic Trauma Physician
- Maywood, NJ
National Provider Identifier
1619134285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Trauma Physician
- License
- 25 MA08801100
- Practice address
- 113 W Essex St
Suite 201
Maywood, NJ 07607-1020 - Phone
- (201) 226-0145
- Fax
- (201) 226-0147
- NPI assigned
- May 20, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Trauma Physician | 207XX0801X | 25 MA08801100 | NJ | Primary |
Addresses
Primary practice location
113 W Essex St
Suite 201
Maywood, NJ 07607-1020
Mailing address
113 W Essex St
Suite 201
Maywood, NJ 07607-1020
Phone (201) 226-0145
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Columbia University College of Physicians and Surgeons, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
113 W Essex St
Suite 201
Maywood, NJ 07607-1023
Phone (201) 226-0145
Hospital & facility affiliations
- Valley Home Care Inc.
- Amedisys Home Health
- Visiting Health Services of New Jersey
- Hackensack University Medical Center
- Kessler Rehab Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25 MA08801100 | NJ | MD | Orthopaedic Trauma Physician |
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.
-
- Orthopaedic Surgery Physician
- Maywood, NJ
- NPI 1679900302
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Hackensack, NJ
- NPI 1952402737
-
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
- Rehabilitation Hospital
- West Orange, NJ
- NPI 1013919620
Inpatient rehabilitation facility
-
- Home Health Agency
- Paramus, NJ
- NPI 1174588925
-
- Home Health Agency
- Woodland Park, NJ
- NPI 1518407642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393459200000",
"number": "1619134285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 W ESSEX ST",
"address_2": "SUITE 201",
"city": "MAYWOOD",
"state": "NJ",
"postal_code": "076071020",
"telephone_number": "201-226-0145",
"fax_number": "201-226-0147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 W ESSEX ST",
"address_2": "SUITE 201",
"city": "MAYWOOD",
"state": "NJ",
"postal_code": "076071020",
"telephone_number": "201-226-0145",
"fax_number": "201-226-0147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "JULIE",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-20",
"last_updated": "2014-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "NJ",
"license": "25 MA08801100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maywood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.