Individual provider Active NPI

Angela Marie Pizzo-Kelly, NP

  • Women's Health Nurse Practitioner
  • Vineland, NJ
National Provider Identifier
1437284957
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
26NJ00050500 Issued in NJ
Practice address
1102 E Chestnut Ave
Vineland, NJ 08360-5002
Phone
(856) 696-4484
NPI assigned
Feb 23, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 26NJ00050500 NJ Primary

Addresses

Primary practice location

1102 E Chestnut Ave
Vineland, NJ 08360-5002

Mailing address

309 Stotesbury Ave
Newfield, NJ 08344-9539
Phone (856) 697-5514

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
I20081108000006 NJ Practitioner - Nurse Practitioner 4486713286 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

219 N White Horse Pike
Suite 101
Hammonton, NJ 08037-1896
Phone (609) 407-2371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Jun 24, 2018 Accepting new patients
Atlanticare Physician Group PA CurrentSince Jun 24, 2018 Accepting new patients
Community Health Care, Inc. CurrentSince Mar 28, 2024 Accepting new patients
Southern Jersey Family Medical Centers, Inc. CurrentSince Feb 1, 2020 Accepting new patients
Southern Jersey Family Medical Centers, Inc CurrentSince Feb 1, 2020 Accepting new patients
Community Health Care, Inc. CurrentSince Mar 28, 2024 Accepting new patients
Atlanticare Physician Group Past Accepting new patients

Locations

1125 Atlantic Ave
Atlantic City, NJ 08401
Phone (609) 348-0066

14 N Pearl St
Bridgeton, NJ 08302
Phone (856) 340-9830

30 N Pearl St
Bridgeton, NJ 08302

106 Court House South Dennis Rd
Ste 200
Cape May Court House, NJ 08210
Phone (609) 465-0300

335 Delsea Dr N
Glassboro, NJ 08028
Phone 85645147002755

219 N White Horse Pike
Ste 101
Hammonton, NJ 08037
Phone (609) 407-2371

860 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

530 High St N
Millville, NJ 08332
Phone (856) 506-8556

484 S Brewster Rd
South Vineland, NJ 08361
Phone (856) 696-0300

785 W Sherman Ave
Vineland, NJ 08360

75 W Red Bank Ave
Woodbury, NJ 08096
Phone (856) 853-2055

Interoperability endpoints

  • Direct secure messaging: angela.pizzokelly.p1@direct.cchn.nextgenshare.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437284957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 STOTESBURY AVE",
            "city": "NEWFIELD",
            "state": "NJ",
            "postal_code": "083449539",
            "telephone_number": "856-697-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 E CHESTNUT AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083605002",
            "telephone_number": "856-696-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZZO-KELLY",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ00050500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.