Kelly Covalesky, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00095400 Issued in NJ

Practice address

2 Capital Way
Suite 456
Pennington, NJ 08534

Phone

(609) 537-7300

Fax

(609) 537-7301

NPI assigned

Jul 6, 2006

Last updated

Jan 28, 2013By 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

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stroke & Cerebrovascular Center of New Jersey

  • Neurological Surgery Physician
  • Hamilton, NJ
  • NPI 1831343300
  NPD (past)
• Stroke & Cerebrovascular Center of New Jersey PC

  • Neurological Surgery Physician
  • Hamilton, NJ
  • NPI 1346531530
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1700817798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CAPITAL WAY",
            "address_2": "SUITE 456",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342521",
            "telephone_number": "609-537-7300",
            "fax_number": "609-537-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CAPITAL WAY",
            "address_2": "SUITE 456",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "08534",
            "telephone_number": "609-537-7300",
            "fax_number": "609-537-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVALESKY",
        "first_name": "KELLY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00095400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Cooper, LPC, LCADC, CCS, CPS
• Theresa Core
• Natalie Coronado, OTD, OTR/L
• Kerriann Coughlan, APN
• Counseling Connection, LLC
• Timothy Patrick Coyne, ATC
• Megan Crawford, NP
• Pamela A Crilley, DO
• Patrick Cunningham
• Jane Diane Curran, PH.D.

• Medical Physician Assistant in Pennington, NJ
• Providers in Pennington, 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 Jan 28, 2013; 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.