Individual provider Active NPI

Kelsi Stangl

  • Physician Assistant
  • Red Bank, NJ
National Provider Identifier
1073404307
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00945400 Issued in NJ
Practice address
331 Newman Springs Rd Ste 200
Red Bank, NJ 07701-5691
Phone
(732) 641-1857
NPI assigned
Jul 14, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00945400 NJ Primary

Addresses

Primary practice location

331 Newman Springs Rd Ste 200
Red Bank, NJ 07701-5691

Mailing address

331 Newman Springs Rd Ste 200
Red Bank, NJ 07701-5691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250828003661 NJ Practitioner - Physician Assistant 2365943677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Plastic Surgery CenterGroup PAC ID 8921060484, 88 clinicians

Practice addresses (Care Compare)

535 Sycamore Ave
Shrewsbury, NJ 07702-4224
Phone (732) 333-8720

Hospital & facility affiliations

  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00945400NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Woods O.R., Inc. CurrentSince Jul 22, 2025 Accepting new patients

Locations

331 Newman Springs Rd
Ste 200
Red Bank, NJ 07701
Phone (732) 242-7101

535 Sycamore Ave
Shrewsbury, NJ 07702
Phone (737) 741-0970

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1073404307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD STE 200",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD STE 200",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015691",
            "telephone_number": "732-641-1857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANGL",
        "first_name": "KELSI",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00945400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.