Active NPI
Kelcey Mar
- Family Nurse Practitioner
- Riverdale, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 350533
- Practice address
- 44 State RT 23 Ste 6
Riverdale, NJ 07457-1603 - Phone
- (973) 248-9199
- NPI assigned
- Jan 4, 2023
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 350533 | NY | Primary |
Addresses
Primary practice location
44 State RT 23 Ste 6
Riverdale, NJ 07457-1603
Mailing address
44 State RT 23 Ste 6
Riverdale, NJ 07457-1603
Phone (973) 248-9199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- George Washington University School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Hospital PLZ
Old Bridge, NJ 08857-3012
Phone (732) 360-1000
Hospital & facility affiliations
- Raritan Bay Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 350533 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Physicians of New Jersey PA | Current | Accepting new patients | |
| Jeffrey Weiss MD PA | Current | Accepting new patients | |
| Four Season Medical PLLC | Family | Current | Accepting new patients |
Locations
300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460
65 James St
Edison, NJ 08820
Phone (732) 321-7010
1 Hospital Plz
Old Bridge, NJ 08857
Phone (732) 324-4158
140 N State Rt 17
Ste 204
Paramus, NJ 07652
Phone (201) 523-9797
530 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 324-5007
44 State Rt 23
Ste 6
Riverdale, NJ 07457
Phone (973) 248-9199
7112 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 232-8500
837 59th St
Brooklyn, NY 11220
Phone (718) 975-8415
Interoperability endpoints
- kelceymar@weiismedaa.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Hospitalist Physician
- Edison, NJ
- NPI 1588021851
-
- Allergy Physician
- Riverdale, NJ
- NPI 1316016629
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Old Bridge, NJ
- NPI 1356828172
-
- General Acute Care Hospital
- Perth Amboy, NJ
- NPI 1790297455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1831802875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 STATE RT 23 STE 6",
"city": "RIVERDALE",
"state": "NJ",
"postal_code": "074571603",
"telephone_number": "973-248-9199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 STATE RT 23 STE 6",
"city": "RIVERDALE",
"state": "NJ",
"postal_code": "074571603",
"telephone_number": "973-248-9199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAR",
"first_name": "KELCEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-04",
"last_updated": "2024-03-22",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "350533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverdale, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.