Active NPIIndividual providerSole proprietor

Kelly Man

Nurse Practitioner, Psych/Mental Health in Eatontown, New Jersey

NPI Number1861308306
Practice location
61 James Way, Eatontown, NJ 07724-2272
Fax
—
Last updated
August 24, 2026

Kelly Man is a Nurse Practitioner, Psych/Mental Health based in Eatontown, NJ. Kelly Man practices in Eatontown, NJ. The NPI Number for Kelly Man is 1861308306 and holds a License No. 26NJ15618700 (NJ). The current practice location address for Kelly Man is 61 James Way, Eatontown, NJ 07724-2272 and can be reached out via phone at 732-724-1234.

Provider Profile Details

NPI Number
1861308306
Provider Name
Kelly Man
Provider Entity Type
Individual
Gender
Female
Address
61 James Way, Eatontown, NJ 07724-2272
Phone Number
732-724-1234
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
August 24, 2026
Last Update Date
August 24, 2026
Certification Date
August 24, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
61 James Way
Eatontown, NJ 07724-2272
Zip
07724-2272
Phone Number
732-724-1234
Eatontown, NJ 07724Get directions →

Provider Business Mailing Address Details

Address
23 Seaview Ave
Keansburg, NJ 07734-1225
City
Keansburg
State
NJ
Zip
07734-1225

License Information

License Number
26NJ15618700
License State
NJ
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Kelly Man?

The NPI number of Kelly Man is 1861308306. It was assigned on August 24, 2026 and is currently active in the NPPES registry.

What is the specialty of Kelly Man?

Kelly Man is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ15618700.

Where does Kelly Man practice?

The practice location is 61 James Way, Eatontown, NJ 07724-2272. The office can be reached at 732-724-1234 (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 1861308306 directly on the NPPES registry website.

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