KEVIN LY (NPI# 1720564289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720564289 |
| Entity Type | Individual |
| Full Name | KEVIN LY |
| Practice Address |
1001 W Main St Ste B Freehold NJ 07728-2579 |
| Practice Telephone | 7322941989 |
| Mailing Telephone | 7322941989 |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427218247 | Kevin Ngoc Ly | Pharmacist | 120 North 85th St, Seattle, WA 98103-3602 | 2008-06-16 |
| 1982874301 | Kevin Somithela Ly | Anesthesiology | 8827 Monterey Oaks Dr., Elk Grove, CA 95758 | 2008-03-03 |
| 1194359141 | Kevin Ly | Physician Assistant | 3425 S Bascom Ave Ste 200, Campbell, CA 95008-7300 | 2020-02-28 |
| 1396389656 | Kevin Ly | Physician Assistant | 1001 S Fort Harrison Ave Ste 101, Clearwater, FL 33756-3941 | 2019-10-30 |
| 1568933133 | Kevin Ly | Pharmacist | 30 College Rd, Fairbanks, AK 99701-1706 | 2018-12-07 |
| 1831626571 | Kevin Ly | Pharmacist | 861 N Hacienda Blvd, La Puente, CA 91744-2809 | 2017-05-12 |
| Street Address |
1001 W MAIN ST STE B |
| City | FREEHOLD |
| State | NJ |
| Zip Code | 07728-2579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164447470 | Maria F. Ciminelli | Family Medicine | 1001 W Main St Ste B, Freehold, NJ 07728-2579 | 2006-07-13 |
| 1558849406 | Anand Shah | Student in an Organized Health Care Education/Training Program | 1001 W Main St Ste B, Freehold, NJ 07728-2579 | 2018-08-02 |
| 1326524976 | Nicole Castro | Student in an Organized Health Care Education/Training Program | 1001 W Main St Ste B, Freehold, NJ 07728-2579 | 2018-07-17 |
| 1386120095 | Shalena Islam | Student in an Organized Health Care Education/Training Program | 1001 W Main St Ste B, Freehold, NJ 07728-2579 | 2018-07-16 |
| 1760968465 | Kirk Mccalmon | Student in an Organized Health Care Education/Training Program | 1001 W Main St Ste B, Freehold, NJ 07728-2579 | 2018-07-16 |
| 1992227508 | Shirlynn Althea Chu | Student in an Organized Health Care Education/Training Program | 1001 W Main St Ste B, Freehold, NJ 07728-2579 | 2017-07-14 |
| 1316468895 | Sean Ross Sussman | Student in an Organized Health Care Education/Training Program | 1001 W Main St Ste B, Freehold, NJ 07728-2579 | 2017-07-05 |
| 1003337650 | Parneet Kaur Grewal | Student in an Organized Health Care Education/Training Program | 1001 W Main St Ste B, Freehold, NJ 07728-2579 | 2017-07-05 |
| 1801270822 | Sarah Uddin | Family Medicine | 1001 W Main St Ste B, Freehold, NJ 07728-2579 | 2015-07-20 |
| 1063897023 | Grant Sewell | Family Medicine | 1001 W Main St Ste B, Freehold, NJ 07728-2579 | 2015-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851935837 | Rehability Sports Medicine, LLC | Acupuncturist | 83 South St. Ste 204, Freehold, NJ 07728 | 2019-11-01 |
| 1205488038 | P.a.l.m.s. Providing Alternative Lines of Movement Services LLC | Social Worker | 32-6 Turner Rd, Freehold, NJ 07728 | 2019-07-11 |
| 1962983015 | Cynthia Espinosa | Behavioral Analyst | 906 Nj State Route 33 Business, Freehold, NJ 07728 | 2018-08-27 |
| 1841780087 | Planet Therapies | Social Worker | 4 E Main St Ste 2, Freehold, NJ 07728 | 2018-05-14 |
| 1861998627 | Surgical Specialists of Central Nj, LLC | Surgery | 901 W Main St Ste 106, Freehold, NJ 07728 | 2018-04-02 |
| 1386158426 | Clinical Care, LLC | Social Worker | 115 Spruce Street, Freehold, NJ 07728 | 2017-11-28 |
| 1992227565 | Ashley Taylor Kravitz | Dietitian, Registered | 12 Christie Lane, Freehold, NJ 07728 | 2017-07-14 |
| 1326568429 | The Jewish Home for Rehabilitation and Nursing Inc. | Skilled Nursing Facility | 1151 West Main St, Freehold, NJ 07728 | 2017-06-21 |
| 1518497551 | Spine and Sports Rehab Group of Nj | Physical Medicine & Rehabilitation | 210 Mounts Corner Dr, Freehold, NJ 07728 | 2017-06-13 |
| 1841724697 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Havensbridge Road, Farmingdale, NJ 07728 | 2017-04-19 |
| Find all providers in zip 07728 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255962809 | Pankti D. Kothari | Student in an Organized Health Care Education/Training Program | 329 Rock Oak Rd, Freehold, NJ 07728-9333 | 2020-02-03 |
| 1336791870 | Sydney Asselstine | Student in an Organized Health Care Education/Training Program | 597 Park Ave Ste B, Freehold, NJ 07728-2590 | 2019-07-15 |
| 1366925000 | Emma Rose Smith | Student in an Organized Health Care Education/Training Program | 49 Patten St, Freehold, NJ 07728-2665 | 2018-09-10 |
| 1801318274 | Sherry Kumar | Student in an Organized Health Care Education/Training Program | 597 Park Ave Ste A, Freehold, NJ 07728-2590 | 2017-07-07 |
| 1205287059 | Carl-yves Durand | Student in an Organized Health Care Education/Training Program | 8 Rillstone Ct, Freehold, NJ 07728-8574 | 2016-06-23 |
| 1548878465 | Akanksha Saxena | Student in an Organized Health Care Education/Training Program | 597 Park Ave Ste B, Freehold, NJ 07728-2590 | 2020-07-16 |
| 1659989598 | Meetali Patel | Student in an Organized Health Care Education/Training Program | 597 Park Ave Ste B, Freehold, NJ 07728-2590 | 2020-07-16 |
| 1982212015 | Resham Saleem Khan | Student in an Organized Health Care Education/Training Program | 597 Park Ave Ste B, Freehold, NJ 07728-2590 | 2020-07-15 |
| 1447868583 | Sairah Johnson | Student in an Organized Health Care Education/Training Program | 597 Park Ave Ste B, Freehold, NJ 07728-2590 | 2020-07-15 |
| 1265040349 | Krishna Parikh | Student in an Organized Health Care Education/Training Program | 597 Park Ave Ste B, Freehold, NJ 07728-2590 | 2020-07-15 |
| Find all providers in FREEHOLD | ||||
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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.