Kevin George Kelly, APN, C.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NN10175200 Issued in NJ

Practice address

331 North Ave
Wood Ridge, NJ 07075-2035

Phone

(201) 939-0409

NPI assigned

Feb 4, 2007

Last updated

Aug 13, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• NP Care of NJ, LLC

  • Nurse Practitioner
  • Brick, NJ
  • NPI 1245289842
  NPD (past)

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

{
    "created_epoch": "1170547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186963200000",
    "number": "1184762627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NORTH AVE",
            "city": "WOOD RIDGE",
            "state": "NJ",
            "postal_code": "070752035",
            "telephone_number": "201-939-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 NORTH AVE",
            "city": "WOOD RIDGE",
            "state": "NJ",
            "postal_code": "070752035",
            "telephone_number": "201-939-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KEVIN",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "APN, C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-04",
        "last_updated": "2007-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NN10175200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenryx Quality Health Care
• Yihao Jiang, M.D.
• Adam Jimoh, PMHNP
• John Jines, APN
• Jaspreet Kaur
• Jennifer Lynn Koegel, LCSW
• Laszlo Kolberg
• Xia Lin, RN
• Living Hope Counseling Services
• Jacqueline Long

• Nurse Practitioner in Wood Ridge, NJ
• Providers in Wood Ridge, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.