DR. ROBERT B KELLY (NPI# 1922202738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922202738 |
| Entity Type | Individual |
| Full Name | DR. ROBERT B KELLY |
| Credential | D.O. |
| Practice Address |
823 Lacey Rd Forked River NJ 08731-1203 |
| Mailing Address |
Po Box 659 Lanoka Harbor NJ 08734-0659 |
| Practice Telephone | 6092422705 |
| Practice Fax Number | 6092422702 |
| Mailing Telephone | 6092422705 |
| Mailing Fax Number | 6092422702 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2009-02-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | 25MB06389400 | NJ | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
25MB06389400 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871902494 | Robert Keith Kelly | Chiropractor | 243 Knoll Woods Dr, Rustburg, VA 24588-3316 | 2014-08-07 |
| 1336402452 | Robert Kelly | Family Medicine | 21 Hampton Rd Bldg 32nd, Exeter, NH 03833-4831 | 2012-06-22 |
| 1922375310 | Robert R. Kelly | Pediatrics | 110 Poncha Ave, Alamosa, CO 81101-2160 | 2011-11-29 |
| 1174708267 | Robert D. Kelly | Physical Medicine & Rehabilitation | 1500 Horizon Dr Ste 102b, Chalfont, PA 18914-3966 | 2008-01-08 |
| 1457555054 | Robert Henry Kelly | Orthopaedic Surgery | 1006 Russell Loop, The Villages, FL 32162-6458 | 2007-06-14 |
| 1811101876 | Robert H Kelly | Dentist | 24540 E Welches Rd, Welches, OR 97067-0347 | 2007-05-09 |
| 1902029291 | Robert J Kelly | Pharmacist | 4101 W 95th St, Oak Lawn, IL 60453-3587 | 2007-04-11 |
| 1790850675 | Robert Toms Kelly | Dentist | 1635 Doctors Cir, Wilmington, NC 28401-7405 | 2006-11-23 |
| 1497863039 | Robert B Kelly | Family Medicine | 14601 Detroit Rd Fl 2, Lakewood, OH 44107 | 2006-08-25 |
| 1811900756 | Robert Mouledoux Kelly | Optometrist | 4225 Lapalco Blvd., Marrero, LA 70072-4338 | 2006-08-14 |
| Street Address |
823 LACEY RD |
| City | FORKED RIVER |
| State | NJ |
| Zip Code | 08731-1203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437707445 | Katelyn Cummings | Physical Therapy Assistant | 823 Lacey Rd, Forked River, NJ 08731-1203 | 2019-09-03 |
| 1417515065 | Carey Lauren Schulz | Physical Therapy Assistant | 823 Lacey Rd, Forked River, NJ 08731-1203 | 2019-05-30 |
| 1821563958 | Ray Baet | Physical Therapist | 823 Lacey Rd, Forked River, NJ 08731-1203 | 2018-10-04 |
| 1639353824 | Daniel J Gilson | Physical Therapist | 823 Lacey Rd, Forked River, NJ 08731-1203 | 2007-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841716743 | The Arc Ocean County Chapter, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 900 Gary Smith Way Apt 2101, Cornerstone At Lacey Apt 2101, Forked River, NJ 08731 | 2017-08-22 |
| 1770009672 | The Arc Ocean County Chapter, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 900 Gary Smith Way Apt 2102, Cornerstone At Lacey Apt 2102, Forked River, NJ 08731 | 2017-08-22 |
| 1780100685 | The Arc Ocean County Chapter, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 900 Gary Smith Way Apt 2103, Cornerstone At Lacey Apt 2103, Forked River, NJ 08731 | 2017-08-22 |
| 1154847051 | The Arc Ocean County Chapter, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 900 Gary Smith Way Apt 2104, Cornerstone At Lacey Apt 2104, Forked River, NJ 08731 | 2017-08-22 |
| 1578089488 | The Arc Ocean County Chapter, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 900 Gary Smith Way Apt 4102, Cornerstone At Lacey Apt 4102, Forked, NJ 08731 | 2017-08-22 |
| 1083130181 | George Aboud Saggal | Chiropractor | 424 South Main St, Forked River, NJ 08731 | 2017-08-21 |
| 1811427628 | The Arc, Ocean County Chapter, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Cornerstone At Lacey, 900 Gary Smith Way, Forked River, NJ 08731 | 2017-06-14 |
| 1679953426 | Easter Seals New Jersey | Community/Behavioral Health | 15 Manchester Aveenue; Unit 10, Oakfield Plaza, Forked River, NJ 08731 | 2015-06-08 |
| 1902180292 | Natalia Pokhorukova | Pharmacist | 631 Chelsea St, Forked River, NJ 08731 | 2011-10-05 |
| 1316244783 | Nicole Catherine Eckert | Chiropractor | 540 Lacey Rd Ste 1c, Forked River, NJ 08731 | 2011-02-22 |
| Find all providers in zip 08731 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841802220 | Spine & Pain Institute of New Jersey | Pain Medicine | 757 Route 202-206, Suite 104, Bridgewater, NJ 08807-0880 | 2020-08-18 |
| 1225680796 | Nj Interventional Pain Management LLC | Pain Medicine | 560 Hudson St Ste 301, Hackensack, NJ 07601-6655 | 2019-07-15 |
| 1780246017 | Premier Pain Centers, LLC | Pain Medicine | 1430 Hooper Ave Ste 205, Toms River, NJ 08753-2895 | 2019-07-08 |
| 1083271134 | Us Functional, LLC | Pain Medicine | 813 E Gate Dr Ste C, Mount Laurel, NJ 08054-1238 | 2019-05-23 |
| 1770043515 | Healthcare Pain Centers LLC | Pain Medicine | 362 Us Highway 9 Unit 203, Englishtown, NJ 07726-9224 | 2019-03-20 |
| 1780165829 | Premier Pain Centers, LLC. | Pain Medicine | 561 Cranbury Rd Ste 1, East Brunswick, NJ 08816-5400 | 2018-08-27 |
| 1063993103 | Premier Pain Centers, LLC. | Pain Medicine | 150 Chambers Bridge Rd Ste 201, Brick, NJ 08723-3491 | 2018-08-27 |
| 1720592942 | Pain Associates of Bergen County LLC | Pain Medicine | 294 State Street, Suite 2, Hackensack, NJ 07601 | 2017-11-27 |
| 1811421696 | Precision Spine & Sports Medicine Inc | Pain Medicine | 1346 How Ln Ste 107, North Brunswick, NJ 08902-1728 | 2017-04-18 |
| 1063879971 | Central Pain and Wellness | Pain Medicine | 725 Mill St, Moorestown, NJ 08057-1803 | 2016-01-22 |
| Find all providers with the same taxonomy | ||||
| City | FORKED RIVER |
| Zip Code | 08731 |
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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.