Michael Edward Kelly, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00542700 Issued in NJ

Practice address

1599 Hamburg Tpke Ste C
Wayne, NJ 07470-4093

Phone

(973) 277-0868

NPI assigned

Nov 2, 2006

Last updated

Mar 21, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/8a279096-6ad2-4c68-ac31-bf88e291604e/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• One Oak Medical Group, LLC

  • Orthopaedic Surgery Physician
  • Wayne, NJ
  • NPI 1669997359

  Chiropractor

  Medicare reassignment NPD
• Spine Rehabilitation and Wellness Centers

  • Chiropractor
  • Wayne, NJ
  • NPI 1134821820
  Authorized official Same address or phone
• One Oak Medical Group, LLC

  • Orthopaedic Surgery of the Spine Physician
  • Iselin, NJ
  • NPI 1003429036
  NPD

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1871671115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1599 HAMBURG TPKE STE C",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074704093",
            "telephone_number": "973-277-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 HAMBURG TPKE STE C",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074704093",
            "telephone_number": "973-277-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00542700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Keil
• Andrew Kelley, PT, DPT, CSCS
• Julia Kelly, M.S. CCC-SLP
• Lisa-Ann Kelly
• Maureen E Kelly
• Quinn Elizabeth Kelly
• Jessica L Kelmartin, APN
• Kimberly Ann Kempey, LPC
• Kerri Scully LPC LLC
• Yvonne E Kersulec-Morillo, O.D.

• Chiropractor in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.