Organization Active NPI

Kelleykare LLC

  • Point of Service
  • Somers Point, NJ
National Provider Identifier
1033447271
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
KELLEYKARE LLC
Practice address
103 Atlantic Ave
Somers Point, NJ 08244-2171
Phone
(609) 703-4336
NPI assigned
Nov 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gloria Anne Kelley, MA
Title
President
Phone
(609) 703-4336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

103 Atlantic Ave
Somers Point, NJ 08244-2171

Mailing address

103 Atlantic Ave
Somers Point, NJ 08244-2171
Phone (609) 703-4336

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320624000000",
    "number": "1033447271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 ATLANTIC AVE",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442171",
            "telephone_number": "609-703-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 ATLANTIC AVE",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442171",
            "telephone_number": "609-703-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEYKARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2011-11-07",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-703-4336",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.