Individual provider Active NPI

Alyssa Kellmyer, DPM

  • Podiatrist
  • Stratford, NJ
National Provider Identifier
1548992415
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00385700 Issued in NJ
Practice address
18 E Laurel Rd
Stratford, NJ 08084-1327
Phone
(856) 346-6000
NPI assigned
Jun 28, 2022
Last updated
Jun 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00385700 NJ Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00385700 NJ

Addresses

Primary practice location

18 E Laurel Rd
Stratford, NJ 08084-1327

Mailing address

100 Kings Way E Ste D608084
Sewell, NJ 08080-2237
Phone (856) 582-6082

Other practice location 1

707 N Main St Ste 1
Glassboro, NJ 08028-1605
Phone (856) 582-6082

Other practice location 2

401 Kings Hwy S Ste 2C
Cherry Hill, NJ 08034-2500
Phone (856) 582-6082

Other practice location 3

100 Kings Way E Ste D6
Sewell, NJ 08080-2238
Phone (856) 582-6082

Other practice location 4

525 Route 73 S Ste 304
Marlton, NJ 08053-9644
Phone (856) 582-6082

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250429002008 NJ Practitioner - Podiatry 5890211296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Foot and AnkleGroup PAC ID 1254624869, 10 clinicians

Practice addresses (Care Compare)

100 Kings Way E
Suite D6
Sewell, NJ 08080-2238
Phone (856) 582-6082

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue218
Removal or shaving of skin growth70

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00385700NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Foot & Ankle Podiatrist CurrentSince Apr 21, 2025 Accepting new patients
Cornerstone Foot & Ankle Podiatrist CurrentSince Apr 21, 2025 Accepting new patients

Locations

401 Kings Hwy S
Ste 2C
Cherry Hill, NJ 08034

525 Route 73 S
Ste 304
Marlton, NJ 08053
Phone (609) 983-5144

264 S Broadway
Pennsville, NJ 08070
Phone (856) 678-6678

100 Kings Way E
Ste D6
Sewell, NJ 08080
Phone (856) 873-6065

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1548992415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS WAY E STE D608084",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802237",
            "telephone_number": "856-582-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 E LAUREL RD",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841327",
            "telephone_number": "856-346-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 N Main St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Glassboro",
            "state": "NJ",
            "postal_code": "080281605",
            "country_code": "US",
            "telephone_number": "856-582-6082",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Kings Hwy S Ste 2C",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080342500",
            "country_code": "US",
            "telephone_number": "856-582-6082",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Kings Way E Ste D6",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080802238",
            "country_code": "US",
            "telephone_number": "856-582-6082",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 Route 73 S Ste 304",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080539644",
            "country_code": "US",
            "telephone_number": "856-582-6082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLMYER",
        "first_name": "ALYSSA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00385700",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00385700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, NJ

Sources for this page

Verify at the official NPI Registry.