Active NPI
Rosemary Kelly
- Developmental Therapist
- Lakewood, NJ
National Provider Identifier
1558630129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 500 River Ave
Suite 245
Lakewood, NJ 08701-4738 - Phone
- (732) 367-1888
- NPI assigned
- Dec 27, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
500 River Ave
Suite 245
Lakewood, NJ 08701-4738
Mailing address
30 Ayrmont LN
Aberdeen, NJ 07747-1223
Phone (908) 601-1450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324944000000",
"number": "1558630129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 AYRMONT LN",
"city": "ABERDEEN",
"state": "NJ",
"postal_code": "077471223",
"telephone_number": "908-601-1450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 RIVER AVE",
"address_2": "SUITE 245",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087014738",
"telephone_number": "732-367-1888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "ROSEMARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-27",
"last_updated": "2011-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.