MICHAEL KELLY (NPI# 1144389602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144389602 |
| Entity Type | Individual |
| Full Name | MICHAEL KELLY |
| Practice Address |
1 Robert Wood Johnson Pl Robert Wood Johnson University Hospital - New Brunswick New Brunswick NJ 08901-1928 |
| Mailing Address |
66 West Gilbert St Red Bank NJ 07701 |
| Practice Telephone | 7322357900 |
| Mailing Telephone | 7322120051 |
| Mailing Fax Number | 7322120713 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2010-06-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
MA73393 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8751609 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389874 | Michael Kelly | Physical Therapist | 1025 Service Pl Ste 200, Vista, CA 92084-7271 | 2020-09-03 |
| 1871949115 | Michael John Kelly | Speech-Language Pathologist | 3484 Fair Oaks Ave, Bowling Green, KY 42104-5529 | 2016-05-05 |
| 1003206004 | Michael Sean Kelly | Nurse Practitioner | 17601 17th St Ste 120, Tustin, CA 92780-1946 | 2015-01-28 |
| 1295135515 | Michael Kelly | Technician, Other | 2215 E 36 1/2 St, Minneapolis, MN 55407-3018 | 2014-08-25 |
| 1225310675 | Michael Thomas Kelly | Pathology | 4156 H Street Rd, Blaine, WA 98230-9228 | 2011-09-12 |
| 1205085073 | Michael H Kelly | Massage Therapist | 76 Bosse Ln, West Seneca, NY 14224-1624 | 2008-09-16 |
| 1275780041 | Michael Foster Kelly | Acupuncturist | 8 Wells Ave, Yonkers, NY 10701-2710 | 2008-08-25 |
| 1346458031 | Michael Francis Kelly | Registered Nurse | 79 Trausneck Pl, Yonkers, NY 10703-1907 | 2007-05-18 |
| 1104045707 | Michael Walter Kelly | Pharmacist | College of Pharmacy, 110 Pharmacy Building, Iowa City, IA 52242-1112 | 2007-04-24 |
| 1710105358 | Michael Kelly | Physical Therapist | 1600 E. Jefferson St., Seattle, WA 98122 | 2007-04-20 |
| Street Address |
1 ROBERT WOOD JOHNSON PL ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - NEW BRUNSWICK |
| City | NEW BRUNSWICK |
| State | NJ |
| Zip Code | 08901-1928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243375 | Robert Wood Johnson University Hospital, Inc | General Acute Care Hospital | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2005-05-23 |
| 1902405640 | Ellena Curden | Physician Assistant | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-10-23 |
| 1659979912 | Wen Liu | Nurse Practitioner | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-10-09 |
| 1255938700 | Dashmeet Singh | Nurse Practitioner | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-10-07 |
| 1801403977 | Sarah Medhat Labib | Pharmacist | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-09-23 |
| 1639783830 | Sara R Owen | Nurse Practitioner | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-09-04 |
| 1265046379 | James Pimentel | Physician Assistant | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-09-04 |
| 1356952295 | Xinyuan Hu | Pharmacist | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-08-13 |
| 1215547716 | Sean Michael Etheridge | Physician Assistant | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-08-09 |
| 1497372841 | Benjamin Jared Lichtbroun | Student in an Organized Health Care Education/Training Program | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083242622 | Daniel Kareem Haddad | Student in an Organized Health Care Education/Training Program | 1 Robert Wood Johnson Place, Meb 422a, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636588 | Neil Anjan Basumallik | Student in an Organized Health Care Education/Training Program | Rutgers Rwjms, Department of Medicine, 125 Paterson Street. Cab 7300, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636406 | Naveena Lall | Student in an Organized Health Care Education/Training Program | Rutgers Robert Wood Johnson Internal Medicine Residency, 125 Paterson Street, New Brunswick, NJ 08901 | 2020-03-30 |
| 1801444047 | Swati Vijay Dhobale | Student in an Organized Health Care Education/Training Program | Saint Peter's University Hospital, 254 Easton Avenue, 4th Floor, Cares Room 4014, New Brunswick, NJ 08901 | 2019-08-30 |
| 1962974329 | Lauren Burgstresser | Nurse Practitioner | 181 Somerset Street, 3rd Floor, New Brunswick, NJ 08901 | 2018-12-26 |
| 1851874291 | Damon House Inc. | Substance Abuse Rehabilitation Facility | 105 Joyce Kilmer Ave, New Brunswick, NJ 08901 | 2018-09-12 |
| 1245718204 | Leah Dinardo | Psychologist | 61 Nichol Ave, New Brunswick, NJ 08901 | 2018-08-01 |
| 1730667130 | Keshav Bhandari | Student in an Organized Health Care Education/Training Program | Saint Peters University Hospital, 254 Easton Avenue, 4th Floor Cares, Rm 4014, New Brunswick, NJ 08901 | 2018-07-30 |
| 1942787486 | Mehak Bassi | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-27 |
| 1063908754 | Oluwatoba Opeyemi Moninuola | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014, 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-05 |
| Find all providers in zip 08901 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356671887 | Colin Russell O'reilly | Pediatrics | 200 Somerset St, New Brunswick, NJ 08901-1942 | 2010-01-06 |
| 1083876106 | Hariprem Rajasekhar | Pediatrics | 1 Robert Wood Johnson Pl, Meb 3rd Floor, New Brunswick, NJ 08901-1928 | 2008-06-30 |
| 1093973695 | Christina Clare Lopez | Pediatrics | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2008-05-30 |
| 1154538759 | Carla Primiani Cangemi | Pediatrics | 200 Somerset St, New Brunswick, NJ 08901-1942 | 2007-05-16 |
| 1790819951 | Tiong Gwan The | Pediatrics | 254 Easton Ave, St Peter's University Hospital, New Brunswick, NJ 08901 | 2007-03-16 |
| 1043371966 | Jacqueline Angela Williams-phillips | Pediatrics | 1 Robert Wood Johnson Pl, Robert Wood Johnson University Hospital - New Brunswick, New Brunswick, NJ 08901-1928 | 2006-12-13 |
| 1013077890 | Daniel Notterman | Pediatrics | 1 Robert Wood Johnson Pl, Robert Wood Johnson University Hospital - New Brunswick, New Brunswick, NJ 08901-1928 | 2006-12-11 |
| 1013076975 | Lisanne Hauck | Pediatrics | 1 Robert Wood Johnson Pl, Robert Wood Johnson University Hospital - New Brunswick, New Brunswick, NJ 08901-1928 | 2006-12-07 |
| 1538228705 | Vicki Craig | Pediatrics | 1 Robert Wood Johnson Pl, Robert Wood Johnson University Hospital - New Brunswick, New Brunswick, NJ 08901-1928 | 2006-12-06 |
| 1679631337 | Thomas Bojko | Pediatrics | 1 Robert Wood Johnson Pl, Robert Wood Johnson University Hospital - New Brunswick, New Brunswick, NJ 08901-1928 | 2006-12-05 |
| Find all providers in NEW BRUNSWICK | ||||
| City | NEW BRUNSWICK |
| Zip Code | 08901 |
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| 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.