Individual provider Active NPI

William Keating, D.O.

  • Family Medicine Physician
  • Montville, NJ
National Provider Identifier
1770670101
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB05151800 Issued in NJ
Practice address
22 Lenape Drive
Montville, NJ 07045
Phone
(973) 334-8932
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB05151800 NJ Primary

Addresses

Primary practice location

22 Lenape Drive
Montville, NJ 07045

Mailing address

22 Lenape Drive
Montville, NJ 07045
Phone (973) 334-8932

Other identifiers 1

IdentifierTypeStateIssuer
5003903MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101022000139 NJ Practitioner - Family Practice 0446246748 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Office of New Jersey, LLC CurrentSince Jan 21, 2018 Accepting new patients
Doctor'S Office of West Caldwell LLC CurrentSince Oct 24, 2018 Accepting new patients
Excel Urgent Care of NJ LLC CurrentSince Jun 1, 2016 Accepting new patients
The Radiology Group of New Jersey, LLC PastSince Oct 24, 2018 Accepting new patients
Sportscare of America, PC PastSince Sep 14, 2011 Accepting new patients

Locations

740 Route 1 N
Ste 2
Iselin, NJ 08830
Phone (732) 874-5507

740 US Highway 1 N
Iselin, NJ 08830
Phone (732) 362-3840

85 Godwin Ave
Midland Park, NJ 07432
Phone (201) 639-8870

2624 Highway 516
Old Bridge, NJ 08857
Phone (973) 671-8775

556 Passaic Ave
West Caldwell, NJ 07006
Phone (973) 808-2273

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

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.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1770670101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 LENAPE DRIVE",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "07045",
            "telephone_number": "973-334-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 LENAPE DRIVE",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "07045",
            "telephone_number": "973-334-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATING",
        "first_name": "WILLIAM",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB05151800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5003903",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montville, NJ

Sources for this page

Verify at the official NPI Registry.