Active NPIIndividual provider

Amanda A Kelly

Physical Medicine & Rehabilitation in East Hanover, New Jersey

NPI Number1134789787
Practice location
120 Eagle Rock Ave Ste 154, East Hanover, NJ 07936-3168
Fax
—
Last updated
November 16, 2023

Amanda Ansley Kelly is a Physical Medicine & Rehabilitation based in East Hanover, NJ. Amanda Ansley Kelly practices in East Hanover, NJ. The NPI Number for Amanda Ansley Kelly is 1134789787 and holds a License No. 25MA11767700 (NJ). The current practice location address for Amanda Ansley Kelly is 120 Eagle Rock Ave Ste 154, East Hanover, NJ 07936-3168 and can be reached out via phone at 120-144-7477.

Provider Profile Details

NPI Number
1134789787
Provider Name
Amanda Ansley Kelly
Provider Entity Type
Individual
Gender
Female
Address
120 Eagle Rock Ave Ste 154, East Hanover, NJ 07936-3168
Phone Number
120-144-7477
Primary Taxonomy
Physical Medicine & Rehabilitation · 208100000X
Sole Proprietor
No
Other Names
Amanda Ansley Vo (Former Name)
Provider Enumeration Date
June 17, 2019
Last Update Date
November 16, 2023
Certification Date
November 16, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
120 Eagle Rock Ave Ste 154
East Hanover, NJ 07936-3168
Zip
07936-3168
Phone Number
120-144-7477
East Hanover, NJ 07936Get directions →

Provider Business Mailing Address Details

Address
41 Mall RD
Burlington, MA 01805-0001
City
Burlington
State
MA
Zip
01805-0001
Phone Number
781-744-5700
Fax Number
781-744-5358

License Information

License Number
25MA11767700
License State
NJ
Taxonomy
Physical Medicine & Rehabilitation · 208100000X · Primary

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 Amanda A Kelly?

The NPI number of Amanda A Kelly is 1134789787. It was assigned on June 17, 2019 and is currently active in the NPPES registry.

What is the specialty of Amanda A Kelly?

Amanda A Kelly is registered under the primary taxonomy Physical Medicine & Rehabilitation (code 208100000X), licensed in NJ under license number 25MA11767700.

Where does Amanda A Kelly practice?

The practice location is 120 Eagle Rock Ave Ste 154, East Hanover, NJ 07936-3168. The office can be reached at 120-144-7477 (phone).

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 1134789787 directly on the NPPES registry website.

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