DR. SEAN MICHAEL KELLY (NPI# 1063851509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063851509 |
| Entity Type | Individual |
| Full Name | DR. SEAN MICHAEL KELLY |
| Credential | D.O. |
| Practice Address |
606 Beech St Township of Washington NJ 07676-4332 |
| Practice Telephone | 2012804458 |
| Mailing Telephone | 2012804458 |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2018-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 25MB10462600 | NJ | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 032.0132524 | VT | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 255482 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326659202 | Sean Michael Kelly | Counselor | 1407 Dellwood Dr, Louisville, KY 40216-4070 | 2020-08-13 |
| 1811510894 | Sean Kelly | Registered Nurse | 530 Virginia Dr, Lake Worth, FL 33461-5751 | 2020-05-25 |
| 1396275327 | Sean Brett Kelly | Dentist | 13590b North Meridian Street, 101, Carmel, IN 46032-1409 | 2017-06-13 |
| 1073058582 | Sean Kelly | Physician Assistant | Cmr 411 Box 2507, Apo, AE 09112-0026 | 2016-12-20 |
| 1326499088 | Sean Kelly | Internal Medicine | 2401 Laura Cir, Papillion, NE 68046-4216 | 2016-06-23 |
| 1013367069 | Sean Kelly | Psychologist | 2527 W Colorado Ave Ste 208, Colorado Springs, CO 80904-3075 | 2016-06-20 |
| 1821456559 | Sean Kelly | Counselor | 10564 Se Washington Street, Portland, OR 97216 | 2016-02-09 |
| 1346660735 | Sean Kelly | Occupational Therapist | 556 Bay Rd, South Easton, MA 02375-1415 | 2014-04-24 |
| 1154663607 | Sean Patrick Kelly | Orthopaedic Surgery | 55 Fruit St # 125n-260, Boston, MA 02114 | 2013-03-22 |
| 1952600165 | Sean C Kelly | Pathology | 364 13th St Apt 3, Brooklyn, NY 11215-7334 | 2011-03-28 |
| Street Address |
606 BEECH ST |
| City | TOWNSHIP OF WASHINGTON |
| State | NJ |
| Zip Code | 07676-4332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902395080 | Aah of Bergen County Inc | Community Based Residential Treatment Facility, Mental Illness | 267r Pascack Road, Township of Washington, NJ 07676 | 2018-05-04 |
| 1164671236 | Gilbert Pulido | Dentist | 649 Clinton Avenue, Washington Township, NJ 07676 | 2008-09-15 |
| 1477691632 | Marion Lorenzo | Social Worker | 475 Ridgewood Blvd North, Washington Township, NJ 07676 | 2007-02-01 |
| 1902866833 | Earl Dipirro | Plastic Surgery | 24 Edgewood Drive, Washington Township, NJ 07676 | 2006-03-24 |
| 1417439738 | Dean John Gennaro | Pharmacist | 989 Harrison Street, Township Of, Twp of Wash, NJ 07676-0767 | 2018-09-04 |
| 1952654998 | Swati Jitendra Shah | Occupational Therapist | 769 Van Emburgh Ave, Township of Washington, NJ 07676-3800 | 2012-10-15 |
| 1982247532 | Ariana Ventura | Speech-Language Pathologist | 701 Van Emburgh Ave, Township of Washington, NJ 07676-3816 | 2019-10-25 |
| 1932524741 | Muscle Solace LLC | Specialist | 715 Van Emburgh Ave, Township of Washington, NJ 07676-3816 | 2014-03-03 |
| 1669830444 | Grabex LLC | Home Health | 60 Horizon Ct, Township of Washington, NJ 07676-3846 | 2016-02-08 |
| 1265836407 | Jonathan Gayed | Physical Therapist | 649 Leigh Ter, Township of Washington, NJ 07676-3915 | 2014-10-17 |
| Find all providers in zip 07676 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080196 | Shaker Medical Group-hospitalists LLC | Internal Medicine | 155 Polifly Rd Ste 301, Hackensack, NJ 07601-1749 | 2020-10-16 |
| 1770180135 | Shama Patel | Internal Medicine | 760 Bound Brook Rd Ste A, Dunellen, NJ 08812-1079 | 2020-10-07 |
| 1174130835 | Dmm Medical Consulting Group | Internal Medicine | 4551 Route 42 Ste 3, Turnersville, NJ 08012-1751 | 2020-09-28 |
| 1437764859 | Edward Laub Md LLC | Internal Medicine | 2053 Klockner Rd, Trenton, NJ 08690-3413 | 2020-09-11 |
| 1285245076 | Wecare Medical Associates LLC | Internal Medicine | 19 Holly St Ste 2, Cranford, NJ 07016-2158 | 2020-08-14 |
| 1851902803 | Acute Medical Staffing | Internal Medicine | 197 State Route 18 Ste 3000, East Brunswick, NJ 08816-1440 | 2020-08-13 |
| 1992313746 | Advocare, LLC | Internal Medicine | 750 Route 73 S Ste 201a, Marlton, NJ 08053-4133 | 2020-07-17 |
| 1295353126 | Navneet Kaur Goraya | Internal Medicine | 8 Netter Ct, Marlboro, NJ 07746-2055 | 2020-07-07 |
| 1699390203 | Mehul Patel | Internal Medicine | 560 Sullivan Ave, Englewood Cliffs, NJ 07632-3119 | 2020-06-09 |
| 1922622133 | Hope Hematology & Oncology Associates LLC | Internal Medicine | 1477 Oak Tree Rd, Iselin, NJ 08830-1625 | 2020-06-03 |
| Find all providers with the same taxonomy | ||||
| City | TOWNSHIP OF WASHINGTON |
| Zip Code | 07676 |
Please comment or provide details below to improve the information on DR. SEAN MICHAEL KELLY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.