Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Kelly, DO

Individual provider Sports Medicine (Internal Medicine) Physician · NPI 1265583884

Michael Kelly, DO is a Sports Medicine in West Orange, New Jersey. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2000, 26 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
26
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NJ
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

622 Eagle Rock Ave Ste 305
West Orange, NJ 07052
Phone: (973) 736-1939
Fax: (973) 736-1937
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Internal Medicine) Physician (primary) Taxonomy 207RS0010X · Licence 25MB07620900 (NJ)

Record details

NPI number1265583884
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJanuary 12, 2007
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026
Mailing address622 Eagle Rock Ave, Suite 305, West Orange, NJ 07052

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Also practisesINTERNAL MEDICINE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount