NPIMap

Individual provider Active NPI

Kelly Chirico, APNC

  • Nurse Practitioner
  • Cherry Hill, NJ
National Provider Identifier
1881746774
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NN10007600 Issued in NJ
Practice address
63 Kresson Rd
Suite 104
Cherry Hill, NJ 08034-3200
Phone
(856) 751-7420
Fax
(856) 424-3113
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NN10007600 NJ Primary

Addresses

Primary practice location

63 Kresson Rd
Suite 104
Cherry Hill, NJ 08034-3200

Mailing address

500 Grove St
Suite 100
Haddon Heights, NJ 08035-1761
Phone (856) 796-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070720000138 NJ Practitioner - Nurse Practitioner 0345341327 Reassigns benefits to 2 organizations
I20160906001918 NY Practitioner - Nurse Practitioner 0345341327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians

Practice addresses (Care Compare)

5 E 98TH St
FL 12
New York, NY 10029-6501
Phone (212) 241-8035

Hospital & facility affiliations

  • Mount Sinai Hospital Hospital, New York, NY, CCN 330024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NN10007600NJMDNurse Practitioner

Practice roles (8 of 12)

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Nurse Practitioner CurrentSince Jun 1, 2020 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Aug 2, 2009 Accepting new patients
Community Health Care, Inc. CurrentSince Sep 21, 2012 Accepting new patients
Community Health Care, Inc. CurrentSince Sep 21, 2012 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jun 1, 2020 Accepting new patients
Atlanticare Physician Group CurrentSince Aug 2, 2009 Accepting new patients
Atlanticare Physician Group PA Current Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

30 N Pearl St
Bridgeton, NJ 08302

335 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

5 E 98th St
Fl 12
New York, NY 10029
Phone (212) 241-8303

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 8

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1881746774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GROVE ST",
            "address_2": "SUITE 100",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351761",
            "telephone_number": "856-796-9200",
            "fax_number": "856-796-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 KRESSON RD",
            "address_2": "SUITE 104",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343200",
            "telephone_number": "856-751-7420",
            "fax_number": "856-424-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIRICO",
        "first_name": "KELLY",
        "credential": "APNC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NN10007600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.