NPIMap

Organization Active NPI

Julie M Keller, MD, LLC

  • Orthopaedic Surgery Physician
  • Maywood, NJ
National Provider Identifier
1679900302
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25MA08801100 Issued in NJ
Legal business name
JULIE M KELLER, MD, LLC
Practice address
113 W Essex St
Suite 201
Maywood, NJ 07607-1020
Phone
(201) 226-0145
Fax
(201) 226-0147
NPI assigned
Sep 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Authorized official

Name
Dr. Julie M Keller, MDNPI 1619134285
Title
Owner
Phone
(646) 373-3638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X 25MA08801100 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

Other identifiers 1

IdentifierTypeStateIssuer
7338860001OtherNJMEDICARE DME PTAN

Other names 1

  • Restoration Orthopaedics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140326001176 NJ Part B Supplier - Clinic/Group Practice 5799916276 Receives reassigned benefits from 3 practitioners
Practice locations: Maywood, NJ
O20150611000969 NJ DME Supplier - Physician - General Practice 5799916276 Practice locations: Maywood, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1679900302",
    "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": {
        "organization_name": "JULIE M KELLER, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-373-3638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA08801100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME PTAN",
            "identifier": "7338860001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restoration Orthopaedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.