Individual provider Active NPI

Kelli Howell, P.A.

  • Physician Assistant
  • Ridgewood, NJ
National Provider Identifier
1932535200
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
016985 Issued in NY
Practice address
1200 E Ridgewood Ave Ste 200
Ridgewood, NJ 07450
Phone
(201) 327-8600
NPI assigned
Sep 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 016985 NY Primary

Addresses

Primary practice location

1200 E Ridgewood Ave Ste 200
Ridgewood, NJ 07450

Mailing address

1200 E Ridgewood Ave Ste 200
Ridgewood, NJ 07450-3937

Other practice location 1

1825 Eastchester Rd
Bronx, NY 10461-2301
Phone (718) 920-2267

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
I20131218000585 NY Practitioner - Physician Assistant 7012144041 Reassigns benefits to 3 organizations
I20180419001291 NJ Practitioner - Physician Assistant 7012144041 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosurgical Associates of New Jersey, P.C.Group PAC ID 2961405055, 42 clinicians
Am PM Walk in Urgent Care ClinicGroup PAC ID 5092954602, 79 clinicians
Vladimir Zelenko MD PCGroup PAC ID 4587714985, 12 clinicians

Practice addresses (Care Compare)

121 Hwy 36
Suite 330
West Long Branch, NJ 07764-1436
Phone (732) 222-8866

19 S Washington Ave
Bergenfield, NJ 07621-2324
Phone (201) 387-0177

3 Hamaspik Way
Unit 11
Monroe, NY 10950-8625
Phone (845) 782-0000

49 W Allendale Ave
Suite 4
Allendale, NJ 07401-1755
Phone (201) 340-6052

521 Livingston St
Suite 116
Norwood, NJ 07648-1358
Phone (201) 267-6600

587 Cedar Lane
Teaneck, NJ 07666-1701
Phone (201) 387-0177

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
016985NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Sep 30, 2013 Accepting new patients
Montefiore Medical Center CurrentSince Sep 30, 2013 Accepting new patients
Valley Physician Services PC Past Accepting new patients
Am PM Primary Care Past Accepting new patients
Pharma Holding Inc PastSince Jul 23, 2023 Accepting new patients

Locations

1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000

111 E 210th St
Bronx, NY 10467

Organizations & group practices 9

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 1

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": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1932535200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E RIDGEWOOD AVE STE 200",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E RIDGEWOOD AVE STE 200",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "07450",
            "telephone_number": "201-327-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1825 Eastchester Rd",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104612301",
            "country_code": "US",
            "telephone_number": "718-920-2267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWELL",
        "first_name": "KELLI",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-18",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "016985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.