Active NPI
Kelli E Daniels, MD
- Obstetrics & Gynecology Physician
- Cherry Hill, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25MA10713400
- Practice address
- 1945 Route 70 E Ste C
Cherry Hill, NJ 08003-2160 - Phone
- (856) 325-3760
- Fax
- (856) 325-3761
- NPI assigned
- Jun 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 25MA10713400 | NJ | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | MD-428934 | PA |
Addresses
Primary practice location
1945 Route 70 E Ste C
Cherry Hill, NJ 08003-2160
Mailing address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340
Other practice location 1
1 Medical Center Blvd
Acp # 333
Chester, PA 19013-3902
Phone (610) 872-4900
Other practice location 2
1945 Route 70 E Ste C
Cherry Hill, NJ 08003-2160
Phone (856) 325-3760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101670041 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kdaniels111148@directvirtua.org |
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
- Obstetrics/Gynecology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 247-7260
2225 E Evesham Rd
Voorhees, NJ 08043-1557
3242 Route 206
Bordentown, NJ 08505-4517
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.15 of 100
- Quality
- 62.28
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-428934 | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Prospect Health Access Network, Inc. | Past | Accepting new patients | |
| Virtua - West Jersey Health System, Inc. | Past | Accepting new patients | |
| Health Access Network | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
1945 Route 70 E
Ste C
Cherry Hill, NJ 08003
Phone (856) 325-3760
301 Lippincott Dr
Ste 410
Marlton, NJ 08053
301 Lippincott Dr
Ste 120
Marlton, NJ 08053
Phone (856) 355-0333
2225 E Evesham Rd
Ste 102
Voorhees, NJ 08043
Phone (856) 355-7133
200 Bowman Dr
Ste 340E366
Voorhees, NJ 08043
Phone (856) 247-7600
Interoperability endpoints
- kdaniels111148@directvirtua.org
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
-
- Urgent Care Clinic/Center
- Medford, NJ
- NPI 1144770975
-
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
-
- Obstetrics & Gynecology Physician
- Chester, PA
- NPI 1851501639
-
- Gynecologic Oncology Physician
- Chester, PA
- NPI 1134574775
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1750321485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 LIPPINCOTT DR STE 410",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534197",
"telephone_number": "856-355-0340",
"fax_number": "856-355-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 ROUTE 70 E STE C",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080032160",
"telephone_number": "856-325-3760",
"fax_number": "856-325-3761"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Center Blvd",
"address_2": "ACP # 333",
"address_purpose": "LOCATION",
"city": "Chester",
"state": "PA",
"postal_code": "190133902",
"country_code": "US",
"telephone_number": "610-872-4900",
"fax_number": "610-872-9221",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1945 Route 70 E Ste C",
"address_purpose": "LOCATION",
"city": "Cherry Hill",
"state": "NJ",
"postal_code": "080032160",
"country_code": "US",
"telephone_number": "856-325-3760",
"fax_number": "856-325-3761",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANIELS",
"first_name": "KELLI",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "25MA10713400",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MD-428934",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101670041",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kdaniels111148@directvirtua.org",
"affiliation": "N",
"address_1": "200 Bowman Dr Ste 340&E366",
"city": "Voorhees",
"state": "NJ",
"country_code": "US",
"postal_code": "080439623",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.