BRIAN CONNELLY (MD) – Specialist, NPI 1124103106
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BRIAN CONNELLY (MD)
PO BOX 630
FRANKLIN LAKES, NJ 074170630
Phone: (201) 847-9403
Fax: (201) 847-0059
Type: Mailing
PO BOX 188
LITTLE SILVER, NJ 077390188
Phone:
Type: Mailing
655 SHREWSBURY AVE
SHREWSBURY, NJ 077024179
Phone: (732) 264-1127
Type: Location
The Valley Hospital, 223, North Van Dien Avenue, Southeast Ridgewood, Ridgewood, Bergen County, New Jersey, 07450, United States
RIDGEWOOD, NJ 074502726
Phone: (201) 847-9403
Fax: (201) 847-0059
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $44.
Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.
Last reported payment date: 2024-08-07 • Largest payer in this snapshot: Coherus Biosciences Inc. ($27).
Total Amount
$44
General + Research + Ownership
Payments
2
Total payment records
General Amount
$44
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Coherus Biosciences Inc. | $27 |
| Pacira Pharmaceuticals Incorporated | $17 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-05-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070515000020 | I | Anesthesiology | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 97 | 91 | $0 |
| 01810 | Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand | 28 | 28 | $0 |
| 00103 | Anesthesia for procedure on eyelid | 12 | 12 | $0 |
Insurance plans in this area (ZIP 07417)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MA | |
| A N E S T H E S I O L O G Y | NY | |
| A N E S T H E S I O L O G Y | AL | |
| - | NJ | |
| Certified Registered Nurse Anesthetist (Crna) | NY | |
| A N E S T H E S I O L O G Y | NY | |
| A N E S T H E S I O L O G Y | NJ | |
| A N E S T H E S I O L O G Y | PA | |
| A N E S T H E S I O L O G Y | NY | |
| A N E S T H E S I O L O G Y | NJ |
Reviews
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