Kelly Sykes, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00288400 Issued in NJ

Practice address

4248 Harbour Beach Blvd
Brigantine, NJ 08203-1361

Phone

(609) 266-0400

NPI assigned

Sep 5, 2012

Last updated

Sep 5, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1629327655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4248 HARBOUR BEACH BLVD",
            "city": "BRIGANTINE",
            "state": "NJ",
            "postal_code": "082031361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4248 HARBOUR BEACH BLVD",
            "city": "BRIGANTINE",
            "state": "NJ",
            "postal_code": "082031361",
            "telephone_number": "609-266-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYKES",
        "first_name": "KELLY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00288400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Pustizzi, PHARMD
• Stacy Ann Richey, PA-C
• Maria Saccoccia
• Mohamed A Saloum, RPH
• June A Sisson, DDS
• Emerson Richards Tracy, OPTOMETRIC PHYSICIAN
• Kris Michele Triolo, PT, MBA
• Luiza Triolo, PSYD, APN
• Walgreen Co (Walgreens #19364)
• Robert Emmit Ward, ATC

• Medical Physician Assistant in Brigantine, NJ
• Providers in Brigantine, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.