Marlene E Sardina Kelly, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D117730 Issued in NJ

Practice address

1500 N Kings Highway
Suite 100a
Cherry Hill, NJ 08034-2304

Phone

(856) 795-0900

Fax

(856) 795-0994

NPI assigned

Nov 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Conway & Sardina LLC

  • Dentist
  • Cherry Hill, NJ
  • NPI 1043398324
  NPD (past)
• Dr Olena DMD LLC

  • Dental Clinic/Center
  • Cherry Hill, NJ
  • NPI 1699559963
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1649358920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N KINGS HIGHWAY",
            "address_2": "SUITE 100A",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342304",
            "telephone_number": "856-795-0900",
            "fax_number": "856-795-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N KINGS HIGHWAY",
            "address_2": "SUITE 100A",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342304",
            "telephone_number": "856-795-0900",
            "fax_number": "856-795-0994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3223 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191405099",
            "country_code": "US",
            "telephone_number": "215-707-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARDINA KELLY",
        "first_name": "MARLENE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "D117730",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS028081L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "582306",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regina Santos
• Richard Aranzaso Santos, OTA
• Rommel L Santos, PT
• Kimberly Sapulak, MS, OTR/L
• Sarah Zinati
• Donna I Sargent, PT
• Eric M Sartor, EP, CDP
• Jeffrey Sass
• Nicole Sassaman, OTR/L
• Laura Sasso

• Dentist in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.