Kenneth Ly

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA12797600 Issued in NJ

Practice address

200 Strykers Rd Ste 1
Phillipsburg, NJ 08865-9465

Phone

(908) 847-6568

Fax

(866) 278-3009

NPI assigned

Jun 28, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

St Lukes Warren Physician Group PCGroup PAC ID 9739093675, 374 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Luke'S Warren Hospital Hospital, Phillipsburg, NJ, CCN 310060
• St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kly274992@direct-sluhn.org

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.

• St. Luke'S Warren Physician Group, PC

  • Hematology & Oncology Physician
  • Phillipsburg, NJ
  • NPI 1467725184
  Medicare reassignment Care Compare group NPD
• St. Luke'S Warren Physician Group, PC

  • Ophthalmology Physician
  • Phillipsburg, NJ
  • NPI 1568347201
  NPD
• St. Luke'S Warren Physician Group, PC

  • Emergency Medicine Physician
  • Phillipsburg, NJ
  • NPI 1720849516
  NPD
• St. Luke'S Physician Group, Inc.

  • Maternal & Fetal Medicine Physician
  • Fountain Hill, PA
  • NPI 1003867623
  NPD (past)

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

• St. Luke'S Warren Hospital, Inc.

  • General Acute Care Hospital
  • Phillipsburg, NJ
  • NPI 1760488266
  Care Compare affiliation
• St Luke'S Hospital

  • General Acute Care Hospital
  • Allentown, PA
  • NPI 1366011413
  Care Compare affiliation
• St Luke'S Hospital

  • General Acute Care Hospital
  • Easton, PA
  • NPI 1376339226
  Care Compare affiliation
• St Luke'S Hospital

  • General Acute Care Hospital
  • Lehighton, PA
  • NPI 1528737988
  Care Compare affiliation
• St Lukes Hospital

  • General Acute Care Hospital
  • Bethlehem, PA
  • NPI 1013933175
  Care Compare affiliation
• St. Luke'S Hospital

  • General Acute Care Hospital
  • Allentown, PA
  • NPI 1548293954
  Care Compare affiliation
• St. Luke'S Hospital Bethlehem

  • Adult Mental Health Clinic/Center
  • Lehighton, PA
  • NPI 1962094920

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1104558170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 STRYKERS RD STE 1",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088659465",
            "telephone_number": "908-847-6568",
            "fax_number": "866-278-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STRYKERS RD STE 1",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088659465",
            "telephone_number": "908-847-6568",
            "fax_number": "866-278-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY",
        "first_name": "KENNETH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-28",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA12797600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Lucas
• Chuying Luo, MD
• Luxottica Retail North America Inc
• LVHN Ambulatory Surgery Center of Lopatcong, Inc.
• LVHN Coordinated Professional Practice of NJ, PC
• Joseph Lynch, DDS
• Edward M Lysaght, LCSW
• M S Durrani MD PA
• Gerard A Machado, PSYD, APN-BC
• Rebecca Machlovitz, MA

• Family Medicine Physician in Phillipsburg, NJ
• Providers in Phillipsburg, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.