Individual provider Active NPI

Kelcey Mar

  • Family Nurse Practitioner
  • Riverdale, NJ
National Provider Identifier
1831802875
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
350533 Issued in NY
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

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230216000228 NY Practitioner - Nurse Practitioner 2264804418 Reassigns benefits to 1 organization
I20240403000726 NJ Practitioner - Nurse Practitioner 2264804418 Reassigns benefits to 2 organizations

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
Hospitalist Physicians of New Jersey PAGroup PAC ID 3476859927, 162 clinicians

Practice addresses (Care Compare)

1 Hospital PLZ
Old Bridge, NJ 08857-3012
Phone (732) 360-1000

Hospital & facility affiliations

  • Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
350533NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Physicians of New Jersey PA CurrentSince Nov 18, 2024 Accepting new patients
Jeffrey Weiss MD PA CurrentSince Feb 21, 2024 Accepting new patients
Four Season Medical PLLC Family CurrentSince Feb 1, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.