Individual provider Active NPI

Peter Kelly, D.O.

  • Family Medicine Physician
  • Cherry Hill, NJ
National Provider Identifier
1982869467
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB08657700 Issued in NJ
Practice address
911 Kings Hwy S
Cherry Hill, NJ 08034-2522
Phone
(856) 553-1355
Fax
(267) 376-4874
NPI assigned
Jul 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB08657700 NJ Primary

Addresses

Primary practice location

911 Kings Hwy S
Cherry Hill, NJ 08034-2522

Mailing address

1 Federal St Ste Sw200
Camden, NJ 08103-1155
Phone (856) 356-4924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, PA, TN4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20110215000332 NJ Practitioner - Family Practice 5092995688 Reassigns benefits to 6 organizations
I20151215001136 NY Practitioner - Family Practice 5092995688 Reassigns benefits to 2 organizations
I20200622001583 PA Practitioner - Family Practice 5092995688 Reassigns benefits to 1 organization
I20250326002287 TN Practitioner - Family Practice 5092995688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New England, College of Osteo Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

118 E Side SQ
Suite a
Shelbyville, TN 37160-3935
Phone (215) 585-2342

407 S 10TH St
Suite 101
Philadelphia, PA 19147-1274
Phone (215) 585-2342

911 Kings Hwy S
Cherry Hill, NJ 08034-2522
Phone (215) 585-2342

Hospital & facility affiliations

  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB08657700NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Urgent Care Physicians LLC CurrentSince Jan 14, 2019 Accepting new patients
Clare Medical of New Jersey LLC Family Medicine CurrentSince Jul 14, 2019 Accepting new patients
Cooper Family Medicine, PC Family Medicine CurrentSince Sep 10, 2018 Accepting new patients
Ryan-Chelsea Clinton Community Health Center CurrentSince Oct 15, 2015 Accepting new patients
Atlanticare Physician Group CurrentSince Apr 29, 2018 Accepting new patients
Atlanticare Physician Group PA Family Medicine Current Accepting new patients
Peter Kelly LLC Family Medicine CurrentSince Nov 5, 2021 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Apr 29, 2018 Accepting new patients
Inspira Health Network Medical Group, P.C. Past Accepting new patients
The Cooper Health System Past Accepting new patients

Locations

3156 River Rd
Camden, NJ 08105
Phone (856) 356-4988

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

1865 Harrison Ave
Ste 1300
Camden, NJ 08105
Phone (856) 963-0126

911 Kings Hwy S
Cherry Hill, NJ 08034
Phone (215) 585-2342

2500 English Creek Ave
Ste 909
Egg Harbor Twp, NJ 08234
Phone (609) 407-2380

504 White Horse Pike
Haddon Hgts, NJ 08035
Phone (856) 546-7990

100 Grove St
Haddonfield, NJ 08033
Phone (856) 325-6601

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

1001 Lincoln Dr W
Ste F
Marlton, NJ 08053
Phone (609) 810-1800

110 Marter Ave
Ste 503
Moorestown, NJ 08057
Phone (856) 608-8840

137 High St
Ste 2A
Mount Holly, NJ 08060
Phone (609) 447-3442

255 N Route 73
West Berlin, NJ 08091
Phone (609) 569-7040

645 10th Ave
New York, NY 10036
Phone (212) 265-4500

110 W 97th St
New York, NY 10025
Phone (212) 316-7906

812 N Bethlehem Pike
Ste 207A
Lower Gwynedd, PA 19002
Phone (215) 585-2342

407 S 10th St
Ste 101
Philadelphia, PA 19147
Phone (212) 585-2342

118 E Side Sq
Ste A
Shelbyville, TN 37160
Phone (215) 585-2342

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11700/brand/1/csg/1/fhir/r4
  • Direct secure messaging: peter.kelly.1@25384.direct.athenahealth.com

Organizations & group practices 11

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 2

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": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1982869467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE SW200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031155",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 KINGS HWY S",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342522",
            "telephone_number": "856-553-1355",
            "fax_number": "267-376-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-23",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB08657700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.