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Deactivated NPI 1245490994 Deactivated / Inactive NPI Male Practitioner

Dr. Eugene Kelly , MD

Internal Medicine • Cedar Grove, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Eugene Kelly has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 16, 2008
NPI Deactivation Date November 13, 2017
Total Practice Duration ~9 Years of Practice (2008 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Eugene Kelly, MD was a registered Internal Medicine practicing in Cedar Grove, NJ. Throughout an active medical career spanning 9 years, Dr. Kelly provided care at the practice location at 307 HOLLY LN until profile deactivation on 2017-11-13.

Practice Location & Contact Primary Location

Practice Address

307 Holly Ln

Cedar Grove, NJ 070093203

Telephone 9733968131

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Cedar Grove, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 39.0 Yrs
State Avg: 30.1 Yrs
Regional Practice Density
7 Specialists

Practicing in Cedar Grove, NJ (4957 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NJ 25MA01817600

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 13, 2017

Record deactivated on November 13, 2017

NPI Profile Active June 16, 2008

NPI status registered as active in NPPES database

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Updated Practice Location June 16, 2008

Registered at 307 HOLLY LN, CEDAR GROVE, NJ 070093203 (Tel: 9733968131)

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Updated Business Mailing Address June 16, 2008

Registered at 307 HOLLY LN, CEDAR GROVE, NJ 070093203 (Tel: 9733968131)

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Provider Name / Credentials Updated June 16, 2008

Recorded as EUGENE KELLY, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2008

Internal Medicine (License #25MA01817600 in NJ)

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Initial NPI Registration & Enumeration June 16, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245490994
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2008
Last Update: June 16, 2008
Deactivation Date: November 13, 2017

Mailing Address

307 Holly Ln

Cedar Grove, NJ 070093203

Phone: 9733968131

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.