KELLY JENNIFER SUAREZ (NPI# 1427376342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427376342 |
| Entity Type | Individual |
| Full Name | KELLY JENNIFER SUAREZ |
| Credential | PA-C |
| Practice Address |
480 Red Hill Rd Middletown NJ 07748 |
| Mailing Address |
231 Godwin Ave Unit 1 Ridgewood NJ 07450-3709 |
| Practice Telephone | 8482256331 |
| Practice Fax Number | 2127173169 |
| Mailing Telephone | 7862962309 |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2018-08-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA9105022 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
25MP00465900 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
480 RED HILL RD |
| City | MIDDLETOWN |
| State | NJ |
| Zip Code | 07748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497877971 | Jeanine Rose Doody | Nurse Practitioner | 480 Red Hill Rd, Middletown, NJ 07748-3052 | 2007-04-04 |
| 1427608348 | Tatsiana Iannaccio | Pharmacist | 480 Red Hill Rd, Middletown, NJ 07748-3052 | 2019-09-12 |
| 1407320872 | Msk Surgery Nj | Otolaryngology | 480 Red Hill Rd, Middletown, NJ 07748-3052 | 2019-01-18 |
| 1619474467 | Adam Mohamed | Pharmacist | 480 Red Hill Rd, Middletown, NJ 07748-3052 | 2018-04-09 |
| 1528564689 | Jacqueline Cheng | Pharmacist | 480 Red Hill Rd, Middletown, NJ 07748-3052 | 2018-04-05 |
| 1811498520 | Karen Powell | Nurse Practitioner | 480 Red Hill Rd, Middletown, NJ 07748-3052 | 2018-02-27 |
| 1902326473 | Lala Gerr | Pharmacist | 480 Red Hill Rd, Middletown, NJ 07748-3052 | 2017-06-26 |
| 1982148466 | Memorial Sloan Kettering Cancer Center | Pharmacy | 480 Red Hill Rd, Suite 1136, Middletown, NJ 07748-3052 | 2016-12-19 |
| 1801340583 | Wendy W Chan | Pharmacist | 480 Red Hill Rd, Middletown, NJ 07748-3052 | 2016-08-10 |
| 1922459163 | Msk Monmouth | Internal Medicine | 480 Red Hill Rd, Middletown, NJ 07748-3052 | 2016-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245872472 | Daniella Marie Siragusa | Pharmacist | 1200 Nj 35, Middletown, NJ 07748 | 2019-10-09 |
| 1548801194 | Victoria Coglianese | Dietitian, Registered | 146 Hillyer Circle, Middletown, Nj, Usa, Middletown, NJ 07748 | 2019-10-04 |
| 1396276184 | Crp Regal Pointe, LLC | Assisted Living Facility | 1800 Nj Highway 35 South, Middletown, NJ 07748 | 2017-03-23 |
| 1780131284 | Jocelyn Elizabeth Marrone | Pharmacist | 1447 State Highway 35, Middletown, NJ 07748 | 2016-09-01 |
| 1346796570 | Michelle Caravella | Dietitian, Registered | 113 Lynch Rd, Middletown, NJ 07748 | 2016-08-28 |
| 1922553528 | Jamie Manzo | Physical Therapist | 37 Kanes Ln, Middletown, NJ 07748 | 2016-08-24 |
| 1245697432 | Middletown Oral Surgery Associates, P.C. | Oral & Maxillofacial Surgery | 21 New Monmouth Road, Middletown, NJ 07748 | 2016-01-20 |
| 1295171379 | Taryn M Buffolino | Counselor | 41 Tall Tree Rd, Middletown, NJ 07748 | 2013-05-16 |
| 1477825925 | Min Jin Kim | Dentist | 2 Apple Farm Road, Middletown, NJ 07748 | 2012-01-30 |
| 1295018562 | Kavita Patel | Pharmacist | 271 Linden Avenue, North Middletown, NJ 07748 | 2011-09-23 |
| Find all providers in zip 07748 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649278540 | Kyle R Brown | Physician Assistant | 540 Saybrook Rd, Suite 160, Middletown, CT 06457-4711 | 2005-07-13 |
| 1629698717 | Brian P Dudgeon | Physician Assistant | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2020-04-20 |
| 1548801830 | Michael Tammaro | Physician Assistant | 28 Crescent St, Middletown, CT 06457-3654 | 2019-10-08 |
| 1447811294 | Julia E. Byman | Physician Assistant | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2019-06-24 |
| 1568939775 | Logan Z Reisenbigler | Physician Assistant | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2018-10-25 |
| 1528540127 | Maneesh Pal | Physician Assistant | 707 E Main St, Middletown, NY 10940-2650 | 2018-08-30 |
| 1821462086 | Gabriel Anthony Godart | Physician Assistant | 480 Red Hill Rd, Middletown, NJ 07748-3052 | 2015-11-25 |
| 1366837056 | Katherine Erikson | Physician Assistant | 410 Saybrook Rd, Suite 100, Middletown, CT 06457-4777 | 2015-03-31 |
| 1508262619 | Erica Joy Nicholson | Physician Assistant | 707 E Main St, Middletown, NY 10940-2650 | 2014-11-17 |
| 1982008108 | Brian Beltrani | Physician Assistant | 512 Saybrook Rd, Middletown, CT 06457-4788 | 2014-10-17 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 07748 |
Please comment or provide details below to improve the information on KELLY JENNIFER SUAREZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.