Active NPIIndividual provider

Kelly Butrica, PA

Physician Assistant in Pennington, New Jersey

NPI Number1659064913
Practice location
1 Capital Way, Pennington, NJ 08534-2520
Fax
—
Last updated
August 18, 2023

Kelly Butrica is a Physician Assistant based in Pennington, NJ. Kelly Butrica practices in Pennington, NJ and has the professional credentials of PA. The NPI Number for Kelly Butrica is 1659064913 and holds a License No. 25MP00792300 (NJ). The current practice location address for Kelly Butrica is 1 Capital Way, Pennington, NJ 08534-2520 and can be reached out via phone at 800-637-2374.

Provider Profile Details

NPI Number
1659064913
Provider Name
Kelly Butrica
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1 Capital Way, Pennington, NJ 08534-2520
Phone Number
800-637-2374
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
June 1, 2023
Last Update Date
August 18, 2023
Certification Date
August 18, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Capital Way
Pennington, NJ 08534-2520
Zip
08534-2520
Phone Number
800-637-2374
Pennington, NJ 08534Get directions →

Provider Business Mailing Address Details

Address
1411 Long Pond Dr
Warrington, PA 18976-1336
City
Warrington
State
PA
Zip
18976-1336
Phone Number
215-593-7836

License Information

License Number (1)
25MP00792300
License State (1)
NJ
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
License State (2)
PA
Taxonomy (2)
Physician Assistant · 363A00000X

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 Kelly Butrica, PA?

The NPI number of Kelly Butrica, PA is 1659064913. It was assigned on June 1, 2023 and is currently active in the NPPES registry.

What is the specialty of Kelly Butrica, PA?

Kelly Butrica, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00792300.

Where does Kelly Butrica, PA practice?

The practice location is 1 Capital Way, Pennington, NJ 08534-2520. The office can be reached at 800-637-2374 (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 1659064913 directly on the NPPES registry website.

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