Active NPIIndividual provider

Tymetha Kelly

Peer Specialist in Neptune, New Jersey

NPI Number1790653806
Practice location
1315 9TH Ave, Neptune, NJ 07753-5122
Fax
—
Last updated
October 29, 2025

Tymetha Kelly is a Peer Specialist based in Neptune, NJ. Tymetha Kelly practices in Neptune, NJ. The NPI Number for Tymetha Kelly is 1790653806. The current practice location address for Tymetha Kelly is 1315 9TH Ave, Neptune, NJ 07753-5122 and can be reached out via phone at 848-218-8155.

Provider Profile Details

NPI Number
1790653806
Provider Name
Tymetha Kelly
Provider Entity Type
Individual
Gender
Female
Address
1315 9TH Ave, Neptune, NJ 07753-5122
Phone Number
848-218-8155
Primary Taxonomy
Peer Specialist · 175T00000X
Sole Proprietor
No
Provider Enumeration Date
October 29, 2025
Last Update Date
October 29, 2025
Certification Date
October 29, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1315 9TH Ave
Neptune, NJ 07753-5122
Zip
07753-5122
Phone Number
848-218-8155
Neptune, NJ 07753Get directions →

Provider Business Mailing Address Details

Address
1315 9TH Ave
Neptune, NJ 07753-5122
City
Neptune
State
NJ
Zip
07753-5122
Phone Number
848-218-8155

License Information

License State
NJ
Taxonomy
Peer Specialist · 175T00000X · 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 Tymetha Kelly?

The NPI number of Tymetha Kelly is 1790653806. It was assigned on October 29, 2025 and is currently active in the NPPES registry.

What is the specialty of Tymetha Kelly?

Tymetha Kelly is registered under the primary taxonomy Peer Specialist (code 175T00000X).

Where does Tymetha Kelly practice?

The practice location is 1315 9TH Ave, Neptune, NJ 07753-5122. The office can be reached at 848-218-8155 (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 1790653806 directly on the NPPES registry website.

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