Kelsey Lynn Donlon, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00570200 Issued in NJ

Practice address

1 Riverview PLZ
Red Bank, NJ 07701-1864

Phone

(732) 741-2700

NPI assigned

Feb 26, 2020

Last updated

Apr 1, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71872

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.

• North Shore-Lij Medical PC

  dba NHPP Cardiology at Great Neck

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  Medicare reassignment NPD
• Lakewood Resource and Referral Center Inc

  dba Center for Health Education, Medicine and Dentistry

  • Federally Qualified Health Center (FQHC)
  • Lakewood, NJ
  • NPI 1083748297
  Medicare reassignment NPD (past)
• Emergency Physician Associates of North Jersey P C

  • Emergency Medicine Physician
  • Summit, NJ
  • NPI 1497783419
  Medicare reassignment
• Lakewood Resource and Referral Center, Inc.

  dba Center for Health Education, Medicine and Dentistry

  • Federally Qualified Health Center (FQHC)
  • Jackson, NJ
  • NPI 1124844816
  NPD
• Lakewood Resource and Referral Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lakewood, NJ
  • NPI 1558816520
  NPD
• Ima Urgent Care

  • Urgent Care Clinic/Center
  • Shrewsbury, NJ
  • NPI 1427432244
  NPD (past)

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1407480791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 WEDGEWOOD CIR",
            "city": "BELFORD",
            "state": "NJ",
            "postal_code": "077182307",
            "telephone_number": "732-546-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RIVERVIEW PLZ",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011864",
            "telephone_number": "732-741-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1771 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087011242",
            "country_code": "US",
            "telephone_number": "732-364-6666",
            "fax_number": "732-364-3559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 E 77th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100751850",
            "country_code": "US",
            "telephone_number": "212-434-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONLON",
        "first_name": "KELSEY",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "025145-01",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00570200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Disher
• Maria E Dodds
• Ashley K Dole, PT, DPT
• Dominick a. Grosso, D.O. LLC
• Donald S. Johnston, OD
• Margaret Donlon, MD
• Catherine M Donohue, CPNP
• Brie Donzella, LPC
• James R Dooley, MD
• Cristina Doran

• Physician Assistant in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.