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DR. HARLEY DANIEL KELLEY M.D.
NPI 1174943914
Pediatrics - Neonatal-Perinatal Medicine in Hackensack, NJ

Active since April 20, 2014PECOS Enrolled
30 PROSPECT AVE, HACKENSACK, NJ 07601(551) 996-5362 Get Directions Write a Review

NPPES record last updated: August 16, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 16, 2020, Jul 12, 2017 (2 updates tracked since 2017).

About Dr. Harley Daniel Kelley M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HARLEY DANIEL KELLEY M.D. (NPI 1174943914) is an individual neonatal-perinatal medicine provider in Hackensack, New Jersey, licensed in New Jersey (25MA10873100) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1174943914
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. HARLEY DANIEL KELLEYCredential: M.D.
Location Address30 PROSPECT AVEHackensack, NJ 07601-1915
Mailing Address30 Prospect AveHackensack, NJ 07601-1915 · (551) 996-5362
Phone(551) 996-5362
Sole ProprietorNo
Enumeration DateApril 20, 2014
Last NPPES UpdateAugust 16, 20202 updates tracked since enumeration
NPPES CertifiedAugust 16, 2020
✔ NPI 1174943914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in NJ · 25MA10873100
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
30 PROSPECT AVE, Hackensack, NJ 07601
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Secondary Practice Location 1

Location 1165 Ashley AveCharleston, SC 29425-2757 · Phone (843) 792-2112

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Harley Daniel Kelley M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Harley Kelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Hospital Medical Center
567 mi
Pediatrics
3333 BURNET AVENUE
Cincinnati, OH 45229
  • Reassigned Medicare billing, Kentucky and Ohio enrollments
  • 110 clinicians in this Medicare group
NPI 1609915784 (513) 636-4225

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JESUS RAFAEL ALVAREZ-PEREZ M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2453
JENNIFER NORTHRIDGE M.D.
Pediatrics (Adolescent Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2237
ANALYSA GALLEGOS MD
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2331
DR. PAARTH RAJ D.O.
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (201) 996-2000
MRS. LAUREN ANNE CARUCCI NP-C
Nurse Practitioner (Adult Health)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000
MS. SOMDATTA GUPTA
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (973) 216-7796
ALEXANDER SHERMAN DO
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (818) 635-2802
DR. TYLER MICHAEL CHAFITZ MD, MBA
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Harley Kelley's NPI number?

The NPI number for Harley Kelley is 1174943914. It was assigned to this individual provider in the NPPES registry on April 20, 2014.

Where is Harley Kelley located?

Harley Kelley practices at 30 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (551) 996-5362.

What is Harley Kelley's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Harley Kelley enrolled in Medicare?

Yes. Harley Kelley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Harley Kelley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Harley Kelley reassigns Medicare benefits to Children's Hospital Medical Center (Cincinnati, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Harley Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Harley Kelley accept?

Health plans from CareSource and Oscar Health list Harley Kelley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Harley Kelley was last updated on August 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.