JOHN V. KELLY MD, PC
NPI 1417065830
Internal Medicine in Bloomfield, NJ

Active since August 27, 2006CLIA 31D0673797 · Waiver
382 W PASSAIC AVE, BLOOMFIELD, NJ 07003(973) 338-1900 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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 holds a CLIA Waiver certificate valid through September 2, 2027 and lists John Kelly, President, as its authorized official.

NPPES Registry Identity

NPI1417065830
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameJOHN V. KELLY MD, PC
Location Address382 W PASSAIC AVEBloomfield, NJ 07003-5552
Mailing Address382 W Passaic AveBloomfield, NJ 07003-5552 · (973) 338-1900
Organization SubpartNo
Authorized OfficialJohn KellyPresident · (973) 338-1900
Enumeration DateAugust 27, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1417065830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

382 W PASSAIC AVE, Bloomfield, NJ 07003

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D0673797

John V Kelly MD PC · Bloomfield, NJ
Active · expires Sep 2, 2027
CLIA Number31D0673797
Laboratory TypePhysician Office
Certificate Effective DateSeptember 3, 2025
Certificate Expiration DateSeptember 2, 2027
Laboratory DirectorJohn V. Kelly
Laboratory Phone(973) 338-1900
Laboratory LocationJohn V Kelly MD PC382 West Passaic Ave, Bloomfield, NJ 07003
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

Dentist (Pediatric Dentistry)
382 W PASSAIC AVE
BLOOMFIELD, NJ 07003
Dentist (Orthodontics and Dentofacial Orthopedics)
382 W PASSAIC AVE
BLOOMFIELD, NJ 07003
Internal Medicine
382 W PASSAIC AVE
BLOOMFIELD, NJ 07003
Non-Pharmacy Dispensing Site
382 W PASSAIC AVE
BLOOMFIELD, NJ 07003
Dentist (Pediatric Dentistry)
382 W PASSAIC AVE, #2
BLOOMFIELD, NJ 07003
Dentist (Pediatric Dentistry)
382 W PASSAIC AVE
BLOOMFIELD, NJ 07003
Physician Assistant
382 W PASSAIC AVE
BLOOMFIELD, NJ 07003
Nurse Practitioner (Family)
382 W PASSAIC AVE
BLOOMFIELD, NJ 07003

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.

Does John V. Kelly MD, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0673797) is associated with this NPI, valid through September 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does John V. Kelly MD, PC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware 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 with the weekly NPPES data releases published by CMS.