Active NPIIndividual provider

Mr. Timothy P Kelly, CRNP

Nurse Practitioner, Family in Neptune, New Jersey

NPI Number1164193751
Practice location
26 Highway 35 N, Neptune, NJ 07753-4743
Fax
—
Last updated
September 23, 2021

Timothy Patrick Kelly is a Nurse Practitioner, Family based in Neptune, NJ. Timothy Patrick Kelly practices in Neptune, NJ and has the professional credentials of CRNP. The NPI Number for Timothy Patrick Kelly is 1164193751 and holds a License No. SP024404 (PA). The current practice location address for Timothy Patrick Kelly is 26 Highway 35 N, Neptune, NJ 07753-4743 and can be reached out via phone at 732-456-7777.

Provider Profile Details

NPI Number
1164193751
Provider Name
Timothy Patrick Kelly
Credential
CRNP
Provider Entity Type
Individual
Gender
Male
Address
26 Highway 35 N, Neptune, NJ 07753-4743
Phone Number
732-456-7777
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
September 23, 2021
Last Update Date
September 23, 2021
Certification Date
September 23, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
26 Highway 35 N
Neptune, NJ 07753-4743
Zip
07753-4743
Phone Number
732-456-7777
Neptune, NJ 07753Get directions →

Provider Business Mailing Address Details

Address
1580 Lakewood RD Ste 16A
Toms River, NJ 08755-3287
City
Toms River
State
NJ
Zip
08755-3287
Phone Number
732-456-7777

License Information

License Number
SP024404
License State
PA
Taxonomy
Nurse Practitioner, Family · 363LF0000X · 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 Mr. Timothy P Kelly, CRNP?

The NPI number of Mr. Timothy P Kelly, CRNP is 1164193751. It was assigned on September 23, 2021 and is currently active in the NPPES registry.

What is the specialty of Mr. Timothy P Kelly, CRNP?

Mr. Timothy P Kelly, CRNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in PA under license number SP024404.

Where does Mr. Timothy P Kelly, CRNP practice?

The practice location is 26 Highway 35 N, Neptune, NJ 07753-4743. The office can be reached at 732-456-7777 (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 1164193751 directly on the NPPES registry website.

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