Active NPIIndividual provider

Dr. Sean M Kelly, DO

Internal Medicine in Township Of Washington, New Jersey

NPI Number1063851509
Practice location
606 Beech St, Township Of Washington, NJ 07676-4332
Fax
201-971-4660
Last updated
June 21, 2025

Sean Michael Kelly is an Internal Medicine based in Township Of Washington, NJ. Sean Michael Kelly practices in Township Of Washington, NJ and has the professional credentials of DO. The NPI Number for Sean Michael Kelly is 1063851509 and holds a License No. 325082 (NY). The current practice location address for Sean Michael Kelly is 606 Beech St, Township Of Washington, NJ 07676-4332 and can be reached out via phone at 201-280-4458 and via fax at 201-971-4660.

Provider Profile Details

NPI Number
1063851509
Provider Name
Sean Michael Kelly
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
606 Beech St, Township Of Washington, NJ 07676-4332
Phone Number
201-280-4458
Fax Number
201-971-4660
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
June 18, 2013
Last Update Date
June 21, 2025
Certification Date
June 21, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
606 Beech St
Township Of Washington, NJ 07676-4332
Zip
07676-4332
Phone Number
201-280-4458
Fax Number
201-971-4660
Township Of Washington, NJ 07676Get directions →

Provider Business Mailing Address Details

Address
606 Beech St
Township Of Washington, NJ 07676-4332
City
Township Of Washington
State
NJ
Zip
07676-4332
Phone Number
201-280-4458

License Information

License Number (1)
325082
License State (1)
NY
Taxonomy (1)
Hospitalist · 208M00000X
License Number (2)
25MB10462600
License State (2)
NJ
Taxonomy (2)
Internal Medicine · 207R00000X · Primary
License Number (3)
032.0132524
License State (3)
VT
Taxonomy (3)
Internal Medicine · 207R00000X
License Number (4)
255482
License State (4)
MA
Taxonomy (4)
Internal Medicine · 207R00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Sean M Kelly, DO?

The NPI number of Dr. Sean M Kelly, DO is 1063851509. It was assigned on June 18, 2013 and is currently active in the NPPES registry.

What is the specialty of Dr. Sean M Kelly, DO?

Dr. Sean M Kelly, DO is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NY under license number 325082.

Where does Dr. Sean M Kelly, DO practice?

The practice location is 606 Beech St, Township Of Washington, NJ 07676-4332. The office can be reached at 201-280-4458 (phone) or 201-971-4660 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063851509 directly on the NPPES registry website.

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