Active NPI
William Kelly, CRNA
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN318961L
- Practice address
- 2301 S Broad St
Philadelphia, PA 19148-3542 - Phone
- (215) 952-9323
- Fax
- (215) 952-1246
- NPI assigned
- Oct 3, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN318961L | PA | Primary |
Addresses
Primary practice location
2301 S Broad St
Philadelphia, PA 19148-3542
Mailing address
2112 Aqueduct Lane
Cherry Hill, NJ 08002
Phone (856) 952-7455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN318961L | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ultracare Anesthesia Partners LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| New Jersey Healthcare Specialists PC | Current | Accepting new patients | |
| South Jersey Anesthesia and Pain Physicians PC | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Methodist Associates in Healthcare, Inc | Past | Accepting new patients | |
| Associates in Anesthesia, Inc. | Past | Accepting new patients | |
| Associates in Anesthesia | Past | Accepting new patients | |
| Regional Gastroenterology Associates of Lancaster, LTD. | Past | Accepting new patients | |
| Bayhealth Medical Center, Inc | Past | Accepting new patients | |
| Huntingdon Valley Anesthesia Associates | Past | Accepting new patients | |
| Society Hill Anesthesia Consultants of New Jersey, PC | Past | Accepting new patients | |
| Society Hill Anesthesia Consultants, PC | Past | Accepting new patients | |
| James F Noone MD PC | Past | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
600 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 561-6700
175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660
1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194
2835 S Delsea Dr
Vineland, NJ 08360
Phone (856) 696-0020
2 Van Buren Rd
Voorhees, NJ 08043
Phone (856) 770-0800
100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000
509 N Broad St
Woodbury, NJ 08096
Phone (856) 686-5396
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/0d26bd04-9128-4f58-8e6d-ffda5cd00f89/
Organizations & group practices 14
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.
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- Anesthesiology Physician
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NJ, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Hackensack, NJ
- NPI 1174585780
-
- Anesthesiology Physician
- Woodbury, NJ
- NPI 1700821352
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
-
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
-
- Anesthesiology Physician
- Chadds Ford, PA
- NPI 1336470467
-
- Anesthesiology Physician
- Chadds Ford, PA
- NPI 1942281191
-
- Specialist
- Meadowbrook, PA
- NPI 1710933114
-
- Specialist
- Meadowbrook, PA
- NPI 1699721001
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1053355131
-
- Gastroenterology Physician
- Lancaster, PA
- NPI 1154422806
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1427003219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306833637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2112 AQUEDUCT LANE",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "08002",
"telephone_number": "856-952-7455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 S BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191483542",
"telephone_number": "215-952-9323",
"fax_number": "215-952-1246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "WILLIAM",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN318961L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.