Dr. Hortensia Kelly PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB08441500 Issued in NJ

Legal business name

DR. HORTENSIA KELLY PA

Practice address

111 Central Ave
Suite 519
Newark, NJ 07102-1909

Phone

(973) 877-5222

NPI assigned

Jul 1, 2015

Last updated

Jan 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hortensia Kelly, D.O

Title

Physician

Phone

(973) 877-5222

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1598148041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CENTRAL AVE",
            "address_2": "SUITE 519",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021909",
            "telephone_number": "973-877-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CENTRAL AVE",
            "address_2": "SUITE 519",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021909",
            "telephone_number": "973-877-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. HORTENSIA KELLY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "HORTENSIA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "973-877-5222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB08441500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Marie Doyle, PHD, LCSW
• Dr Eduardo Samaniego - Primary Medical Care LLC
• Dr K a Ziyaaudhin, PA
• Dr Kenneth Frank
• Dr. Eyeballs, PC
• Dr. Michael J. Diamond, PA
• Lisa Ann Dragone, APN
• Ceyon M Drakes, APN
• Marilyn Moore Driscoll, RD
• Philip Charles Drohat, MD

• Family Medicine Physician in Newark, NJ
• Providers in Newark, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.