Individual provider Active NPI

Kelsey Pomeroy, PA

  • Physician Assistant
  • Haddon Heights, NJ
National Provider Identifier
1538686241
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00451700 Issued in NJ
Practice address
120 White Horse Pike Ste 103E
Haddon Heights, NJ 08035-1938
Phone
(856) 547-1212
Fax
(856) 547-3722
NPI assigned
Aug 23, 2017
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00451700 NJ Primary

Addresses

Primary practice location

120 White Horse Pike Ste 103E
Haddon Heights, NJ 08035-1938

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (609) 267-9400

Other practice location 1

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

Other practice location 2

932 S Main St
Pleasantville, NJ 08232-3646
Phone (609) 383-0880

Other identifiers 1

IdentifierTypeStateIssuer
0594873MedicaidNJ

Other names 1

  • Kelsey Schroeder Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kpomeroy337366@directvirtua.org

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
I20171213001859 NJ Practitioner - Physician Assistant 5496013856 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

651 High St
Burlington City, NJ 08016-2737
Phone (609) 386-0775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Jersey Family Medical Centers, Inc CurrentSince Dec 4, 2018 Accepting new patients
Southern Jersey Family Medical Centers Inc CurrentSince Dec 4, 2018 Accepting new patients
Cape Regional Urgent Care LLC CurrentSince Nov 1, 2017 Accepting new patients
Atlanticare Regional Medical Center Past Accepting new patients
Main Line Emergency Med Associates LLC Past Accepting new patients

Locations

1301 Atlantic Ave
Atlantic City, NJ 08401
Phone (609) 570-0000

651 High St
Burlington City, NJ 08016
Phone (609) 386-0775

11 Court House South Dennis Rd
Ste 3
Cape May Court House, NJ 08210
Phone (609) 465-6364

3003 English Creek Ave
Ste C6
Egg Harbor Twp, NJ 08234
Phone (609) 481-3185

1 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

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

600 Pemberton Browns Mills Rd
Pemberton, NJ 08068
Phone (609) 726-7000

932 S Main St
Pleasantville, NJ 08232
Phone (609) 383-0880

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": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1538686241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "609-267-9400",
            "fax_number": "609-927-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WHITE HORSE PIKE STE 103E",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351938",
            "telephone_number": "856-547-1212",
            "fax_number": "856-547-3722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "860 S White Horse Pike",
            "address_purpose": "LOCATION",
            "city": "Hammonton",
            "state": "NJ",
            "postal_code": "08037",
            "country_code": "US",
            "telephone_number": "609-567-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "932 S Main St",
            "address_purpose": "LOCATION",
            "city": "Pleasantville",
            "state": "NJ",
            "postal_code": "082323646",
            "country_code": "US",
            "telephone_number": "609-383-0880",
            "fax_number": "609-383-0658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POMEROY",
        "first_name": "KELSEY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00451700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0594873",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpomeroy337366@directvirtua.org",
            "affiliation": "N",
            "address_1": "120 White Horse Pike Ste 103E",
            "city": "Haddon Heights",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080351938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "SCHROEDER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Haddon Heights, NJ

Sources for this page

Verify at the official NPI Registry.