EMILY DIANE KELLER (NPI# 1578990537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578990537 |
| Entity Type | Individual |
| Full Name | EMILY DIANE KELLER |
| Credential | NP |
| Practice Address |
615 Hope Rd Eatontown NJ 07724-1277 |
| Practice Telephone | 7325711000 |
| Mailing Telephone | 7325711000 |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NJ00465700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215447602 | Emily N Keller | Physician Assistant | 335 Glessner Ave Fl Mob2, Mansfield, OH 44903-2269 | 2017-10-11 |
| 1407483340 | Emily Lauren Keller | Student in an Organized Health Care Education/Training Program | 123 Hendersonville Rd, Asheville, NC 28803-2868 | 2020-03-23 |
| 1639727720 | Emily Marie Keller | Counselor | 8755 Aero Dr Ste 230, San Diego, CA 92123-1750 | 2019-08-31 |
| 1275043275 | Emily Keller | Dietitian, Registered | 101 Washington Street, Learning Institute, Harrisburg, PA 17104-1675 | 2017-10-04 |
| 1386010080 | Emily R Keller | Nurse Practitioner | 1941 Limestone Rd, Suite 200, Wilmington, DE 19808-5408 | 2015-08-17 |
| 1205214483 | Emily Keller | Counselor | 659 Edwards Ridge Rd, Chapel Hill, NC 27517-8780 | 2015-05-08 |
| 1336585330 | Emily Therese Keller | Pediatrics | 22 Bramhall St, Portland, ME 04102-3134 | 2013-05-16 |
| 1093000614 | Emily Keller | Pediatrics | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2011-06-10 |
| 1790928497 | Emily Catherine Keller | Dermatology | 8936 Southpointe Dr, Suite B2, Indianapolis, IN 46227-7507 | 2009-04-09 |
| Street Address |
615 HOPE RD |
| City | EATONTOWN |
| State | NJ |
| Zip Code | 07724-1277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205812005 | Saad A Saad | Surgery | 615 Hope Rd, Bld 1 A, Eatontown, NJ 07724-1277 | 2005-12-22 |
| 1497261440 | Katie Blossfeld | Social Worker | 615 Hope Rd, Eatontown, NJ 07724-1277 | 2017-12-28 |
| 1174064489 | Ashley Shanahan | Counselor | 615 Hope Rd, Eatontown, NJ 07724-1277 | 2017-03-20 |
| 1760923684 | Alternatives Inc. | Community/Behavioral Health | 615 Hope Rd, Bldg 2, Eatontown, NJ 07724-1277 | 2017-03-10 |
| 1033657085 | Heather Koenigsfest | Counselor | 615 Hope Rd, Building 3a, Eatontown, NJ 07724-1277 | 2017-02-09 |
| 1407201627 | Geralda Vilus | Nurse Practitioner | 615 Hope Rd, 5a, Eatontown, NJ 07724-1277 | 2016-04-25 |
| 1558723148 | Clearwaters Health and Wellness | Registered Nurse | 615 Hope Rd, Building 5b, Eatontown, NJ 07724-1277 | 2016-03-23 |
| 1396100020 | Joanne Peterson | Nurse Practitioner | 615 Hope Rd, Building 5a, Eatontown, NJ 07724-1277 | 2015-12-23 |
| 1871978577 | Princeton Healthcare System | Psychiatric Hospital | 615 Hope Rd, Eatontown, NJ 07724-1277 | 2015-07-23 |
| 1144617887 | Matthew Benedict Ona | Registered Nurse | 615 Hope Rd, Bldg 5 Visiting Physician Services, Eatontown, NJ 07724-1277 | 2015-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719788 | Zsanae Lewis | Driver | 1 Main St Unit 401, Eatontown, NJ 07724 | 2019-06-18 |
| 1417419169 | Refocus | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 613 Hope Road, Building 5 and 2, Eatontown, NJ 07724 | 2019-04-02 |
| 1215401575 | Angela Fordham-lewis | Day Training/Habilitation Specialist | 613 Hope Road, Building #2, Eatontown, NJ 07724 | 2019-01-18 |
| 1174094312 | Patti Kousoulis | Counselor | 10 Industrial Way East, Eatontown, NJ 07724 | 2018-12-16 |
| 1649745589 | Jersey Shore Dental Spa LLC | Dentist | 613 Hope Road Building 5, Eatontown, NJ 07724 | 2018-10-08 |
| 1487135448 | A2z Diagnostics LLC | Pathology | 6 Industrial Way W Ste F19, Eatontown, NJ 07724 | 2018-08-27 |
| 1942708268 | Elyce Jackson | Counselor | 10 Industrial Way, Eatontown, NJ 07724 | 2018-02-01 |
| 1477065894 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 249, Eatontown, NJ 07724 | 2017-10-25 |
| 1639681059 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 277, Eatontown, NJ 07724 | 2017-10-25 |
| 1669998100 | Seacrest Recovery Center North Jersey, LLC | Psychologist | 162 Highway 35, Eatontown, NJ 07724 | 2017-08-16 |
| Find all providers in zip 07724 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548694110 | Allison Joy Palcsesz | Nurse Practitioner | 615 Hope Rd Bldg 3a2nd, Eatontown, NJ 07724-1277 | 2013-08-30 |
| 1376515353 | Kimberly Clemente | Nurse Practitioner | 164 Highway 35, Eatontown, NJ 07724-3478 | 2006-02-03 |
| 1699324913 | Carlos Eduardo Lozano | Nurse Practitioner | 2-12 Corbett Way, Eatontown, NJ 07724-4251 | 2019-09-09 |
| 1407201627 | Geralda Vilus | Nurse Practitioner | 615 Hope Rd, 5a, Eatontown, NJ 07724-1277 | 2016-04-25 |
| 1952648255 | Debra Helena Kapolka | Nurse Practitioner | 615 Hope Rd, Building 5, Eatontown, NJ 07724-1277 | 2013-01-08 |
| 1922344845 | Grace Samuel | Nurse Practitioner | 615 Hope Rd, Eatontown, NJ 07724-1277 | 2012-12-20 |
| 1760717771 | Priscilla K Davis | Nurse Practitioner | 615 Hope Rd, Building 5, Eatontown, NJ 07724-1277 | 2009-10-08 |
| 1336223932 | Jennifer Ann Mitchell | Nurse Practitioner | 615 Hope Rd, Building 5a, Eatontown, NJ 07724-1277 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386472 | Andries Van Der Meer | Nurse Practitioner | 5 Emeline Dr, Hawthorne, NJ 07506-3061 | 2020-11-08 |
| 1790386951 | Katherine Grace Dymacz | Nurse Practitioner | 376 Lafayette Rd Ste 101, Sparta, NJ 07871-3560 | 2020-11-04 |
| 1861093221 | Giacomina Carmela Sorezza | Nurse Practitioner | 267 Betsy Ross Dr, Freehold, NJ 07728-4223 | 2020-11-03 |
| 1740881200 | Guylante Jeune | Nurse Practitioner | 121 E Howard St, Clayton, NJ 08312-1237 | 2020-11-02 |
| 1770183790 | Jennifer Samaan | Nurse Practitioner | 3540 Kennedy Blvd Ste 1, Jersey City, NJ 07307-3450 | 2020-10-28 |
| 1093314015 | Olga Karpusyuk | Nurse Practitioner | 2 Wilson Lane, Metuchen, NJ 08840 | 2020-10-21 |
| 1447859848 | Eugenie Kottin Chetangie | Nurse Practitioner | 13 Rolling Rapids Ct, Hackettstown, NJ 07840-1736 | 2020-10-19 |
| 1508464397 | Abimbola Otufale | Nurse Practitioner | 252b Camden St, Newark, NJ 07103-2434 | 2020-10-13 |
| 1205434248 | Avraham Y Eisenman | Nurse Practitioner | 706 Passaic Ave, Clifton, NJ 07012-1847 | 2020-10-12 |
| 1457958753 | Rita K Asiedu | Nurse Practitioner | 55 Washington Ave, Belleville, NJ 07109-2931 | 2020-10-08 |
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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.