Pieter Jan Ketelaar, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

25MA02713800 Issued in NJ

Practice address

1608 Highway 88
Suite 208
Brick, NJ 08724-3009

Phone

(732) 458-7878

Fax

(732) 840-6378

NPI assigned

Jan 12, 2006

Last updated

Oct 13, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: pieterketelaar@pinelandas.allscriptsdirect.net

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286928000000",
    "number": "1659350189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 HIGHWAY 88",
            "address_2": "SUITE 208",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243009",
            "telephone_number": "732-458-7878",
            "fax_number": "732-840-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 HIGHWAY 88",
            "address_2": "SUITE 208",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243009",
            "telephone_number": "732-458-7878",
            "fax_number": "732-840-6378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETELAAR",
        "first_name": "PIETER",
        "middle_name": "JAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2010-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NJ",
            "license": "25MA02713800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1815601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer J Kesil, P.A.-C
• Kristine Kesselman, RN
• Kessler Institute for Rehabilitation Inc (Kessler Rehabilitation Center)
• Kessler Institute for Rehabilitation Inc (Kessler Rehabilitation Center)
• Leonard Michael Kessler, DMD
• Alyssa Keul
• Zakariya Armstrong Khaleel, MD
• Robert Khamish, D.C.
• Raashid Khan
• Tehreem Khan, OD

• Gynecology Physician in Brick, NJ
• Providers in Brick, NJ by specialty
• Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.