MR. KEVIN GEORGE KELLY (NPI# 1184762627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184762627 |
| Entity Type | Individual |
| Full Name | MR. KEVIN GEORGE KELLY |
| Credential | APN, C. |
| Practice Address |
331 North Ave Wood Ridge NJ 07075-2035 |
| Practice Telephone | 2019390409 |
| Mailing Telephone | 2019390409 |
| Enumeration Date | 2007-02-04 |
| Last Update Date | 2007-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 26NN10175200 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083255681 | Kevin Michael Kelly | Pharmacist | 704 Fairview Rd, Simpsonville, SC 29680-7117 | 2019-10-04 |
| 1326528787 | Kevin Howard Kelly | Marriage & Family Therapist | 5272 S Shamrock Cir, Kearns, UT 84118-7007 | 2018-08-15 |
| 1952848525 | Kevin Kelly | Social Worker | 1010 Delafield Rd Rm 1a105, Pittsburgh, PA 15215-1802 | 2017-01-20 |
| 1912300435 | Kevin Michael Kelly | Occupational Therapist | 1287 Cedar Shoals Dr Apt 718, Athens, GA 30605-3596 | 2014-09-29 |
| 1376972943 | Kevin Joseph Kelly | Nurse Practitioner | 117 E North 1st St, Roby, TX 79543-2354 | 2013-11-05 |
| 1801006515 | Kevin Michael Kelly | Chiropractor | 20 Summer St, Rockland, ME 04841-2918 | 2007-05-23 |
| 1760597421 | Kevin James Kelly | Psychologist | 2800 Cornerstone Drive, Suite 110, Pagosa Springs, CO 81147 | 2006-08-20 |
| 1619984309 | Kevin William Kelly | Psychologist | 2013 State Street, East Petersburg, PA 17520-1216 | 2006-08-02 |
| 1730116625 | Kevin M Kelly | Emergency Medicine | 310 Greenview Way, Bowling Green, KY 42103-8767 | 2006-06-27 |
| 1801839733 | Kevin J Kelly | Chiropractor | 1 Parkview Blvd, Parlin, NJ 08859-2056 | 2006-06-14 |
| Street Address |
331 NORTH AVE |
| City | WOOD RIDGE |
| State | NJ |
| Zip Code | 07075-2035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467992156 | Jeremy Thomas Goldklang | Specialist/Technologist | 218 Jay Street, Wood Ridge, NJ 07075 | 2017-03-01 |
| 1003290420 | Samantha Goldklang | Nurse Practitioner | 218 Jay St, Wood-ridge, NJ 07075 | 2015-07-15 |
| 1891183133 | Meaghan Durham | Specialist/Technologist | 29 Wesmont Drive, Wood Ridge, NJ 07075 | 2015-01-08 |
| 1831473065 | Juan A Castro | Behavioral Analyst | 358 Hackensack Street, D, Wood-ridge, NJ 07075 | 2011-10-06 |
| 1568600443 | Jamea R. Olivari | Dentist | 163 Valley Blouevard, Wood Ridge, NJ 07075 | 2009-01-30 |
| 1518979186 | Theodore Paul Masotti | Pharmacist | 211 Hackensack Street, Wood Ridge, NJ 07075 | 2006-08-12 |
| 1841405008 | Maria Vita Pantano | Family Medicine | 245 Valley Blvd, Wood Ridge, NJ 07075 | 2007-05-11 |
| 1427541929 | Lisandra Quinoy Pena | Dentist | 300 Avalon Dr Unit 3244, Wood Ridge, NJ 07075-1015 | 2018-06-08 |
| 1114324308 | Myong Sun Choe | General Acute Care Hospital | 300 Avalon Dr Unit 3306, Wood Ridge, NJ 07075-1024 | 2014-12-03 |
| 1649539248 | Yihao Jiang | Anesthesiology | 401 Avalon Dr Unit 4212, Wood Ridge, NJ 07075-1059 | 2012-05-16 |
| Find all providers in zip 07075 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790732 | Emine Salif | Nurse Practitioner | 74 Union Ave Apt 4, Clifton, NJ 07011-2673 | 2020-11-06 |
| 1487255766 | Michelle Lynn Portadin | Nurse Practitioner | 19 Oak Glen Ln, Colts Neck, NJ 07722-1612 | 2020-11-04 |
| 1447850490 | Maria Purita Yballe | Nurse Practitioner | 8100 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-10-29 |
| 1437756954 | Maria J Tejada | Nurse Practitioner | 1163 Route 37 W Ste D4, Toms River, NJ 08755-4975 | 2020-10-07 |
| 1154938876 | Nancy Phillips | Nurse Practitioner | 202 Lisa Pl, North Brunswick, NJ 08902-5572 | 2020-09-27 |
| 1952914244 | Anna Manioudakis | Nurse Practitioner | 3540 Kennedy Blvd., Jersey City, NJ 07307 | 2020-08-26 |
| 1215547427 | Alison Del Duca | Nurse Practitioner | 10 Redshaw Blvd, Old Bridge, NJ 08857-4331 | 2020-08-03 |
| 1568071173 | Advanced Medical and Wellness Centers L.L.C. | Nurse Practitioner | 65 Newton Sparta Rd, Newton, NJ 07860-2816 | 2020-07-29 |
| 1659995025 | Downbeach Healthcare Consultants | Nurse Practitioner | 303 N Clermont Ave, Margate City, NJ 08402-2029 | 2020-06-02 |
| 1215559695 | Rutgers, School of Nursing-camden Community Health Clinics | Nurse Practitioner | The Branches Health Center, 1700 South 9th Street, Camden, NJ 08104 | 2020-05-08 |
| Find all providers with the same taxonomy | ||||
| City | WOOD RIDGE |
| Zip Code | 07075 |
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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.