JOHN V. KELLY MD, PC
NPI 1417065830
Internal Medicine in Bloomfield, NJ
About John V. Kelly Md, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN V. KELLY MD, PC (NPI 1417065830) is a healthcare organization registered as an internal medicine in Bloomfield, New Jersey and active in the NPI registry since August 2006. The organization lists John Kelly, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John V. Kelly Md, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to John V. Kelly MD, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 John V. Kelly MD, PC's NPI number?
The NPI number for John V. Kelly MD, PC is 1417065830. It was assigned to this organization in the NPPES registry on August 27, 2006.
Where is John V. Kelly MD, PC located?
John V. Kelly MD, PC is located at 382 W Passaic Ave, Bloomfield, NJ 07003. The listed phone number is (973) 338-1900.
What is John V. Kelly MD, PC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is John V. Kelly MD, PC enrolled in Medicare?
Yes. John V. Kelly MD, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through John V. Kelly MD, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to John V. Kelly MD, PC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (5) and Internal Medicine (1). Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does John V. Kelly MD, PC accept?
Health plans from Oscar Health list John V. Kelly MD, PC 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 John V. Kelly MD, PC was last updated on August 22, 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.
# John V. Kelly Md, Pc · NPI 1417065830
Internal Medicine organization in Bloomfield, New Jersey. Organization record, active in the CMS NPPES registry since August 27, 2006.
## Identity
- **NPI:** 1417065830 (Entity type: Organization)
- **Enumerated:** August 27, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** John Kelly, PRESIDENT
## Practice location
- **Address:** 382 W PASSAIC AVE, Bloomfield, NJ 07003-5552
- **Phone:** (973) 338-1900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Internal Medicine (1); 2 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1417065830) · Data from the CMS NPPES public registry.