KAITLIN KELLY (NPI# 1528422706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528422706 |
| Entity Type | Individual |
| Full Name | KAITLIN KELLY |
| Practice Address |
1086 Teaneck Rd Ste. 4a Teaneck NJ 07666-4854 |
| Practice Telephone | 2018629900 |
| Mailing Telephone | 2018629900 |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912567652 | Kaitlin Kelly | Behavioral Analyst | 2761 Jefferson Davis Hwy Ste 107, Stafford, VA 22554-8330 | 2019-06-14 |
| 1972021434 | Kaitlin M Kelly | Physician Assistant | 4700 Point Fosdick Dr Ste 102, Gig Harbor, WA 98335-1706 | 2017-09-05 |
| 1477902179 | Kaitlin Kelly | Counselor | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2016-06-03 |
| 1386004646 | Kaitlin Kelly | Occupational Therapist | 233 Middle St, Braintree, MA 02184-4840 | 2016-03-01 |
| 1184004087 | Kaitlin M Kelly | Specialist | 17 93rd St, Keene, NH 03431-3989 | 2015-06-05 |
| 1588803134 | Kaitlin Kelly | Speech-Language Pathologist | 555 Amory St, Jamaica Plain, MA 02130-2652 | 2009-02-05 |
| Street Address |
1086 TEANECK RD STE. 4A |
| City | TEANECK |
| State | NJ |
| Zip Code | 07666-4854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598738569 | Irving M Paltrowitz | Specialist | 1086 Teaneck Rd, Suite 4c, Teaneck, NJ 07666-4854 | 2006-02-09 |
| 1396294062 | Kristen King | Specialist/Technologist, Other | 1086 Teaneck Rd, Suite 4a, Teaneck, NJ 07666-4854 | 2016-09-23 |
| 1790233815 | Christopher Mcintyre | Specialist/Technologist, Other | 1086 Teaneck Rd, Suite 4a, Teaneck, NJ 07666-4854 | 2016-09-18 |
| 1023566528 | Irene Halaka | Specialist/Technologist, Other | 1086 Teaneck Rd, Suite 4a, Teaneck, NJ 07666-4854 | 2016-09-14 |
| 1841745668 | Albert Keever | Specialist/Technologist, Other | 1086 Teaneck Rd, Suite 4a, Teaneck, NJ 07666-4854 | 2016-08-22 |
| 1215383682 | Brett Broussard | Specialist/Technologist, Other | 1086 Teaneck Rd, Ste 4a, Teaneck, NJ 07666-4854 | 2016-05-04 |
| 1417316332 | Derek D Ranieri | Specialist/Technologist, Other | 1086 Teaneck Rd, Teaneck, NJ 07666-4854 | 2016-02-19 |
| 1265897581 | Erik Santiago | Specialist/Technologist, Other | 1086 Teaneck Rd, Ste 4a, Teaneck, NJ 07666-4854 | 2015-12-31 |
| 1609271907 | Maria Wunsch | Specialist/Technologist, Other | 1086 Teaneck Rd, Ste 4a, Teaneck, NJ 07666-4854 | 2014-10-29 |
| 1760807028 | Daniel Payson | Specialist/Technologist, Other | 1086 Teaneck Rd, Suite 4a, Teaneck, NJ 07666-4854 | 2014-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047096 | Erica Marie Edmondson | Massage Therapist | 780 New Bridge Rd., Teaneck, NJ 07666 | 2020-09-09 |
| 1609489772 | Bushra Ali | Specialist/Technologist, Other | 1086 Teaneck Road, Suite 4a, Teaneck, NJ 07666 | 2020-08-28 |
| 1043870108 | Etti Miriram Hochberg Schaap | Social Worker | Jewish Family & Children's Services of Northern New Jer, 1485 Teaneck Road, Teaneck, NJ 07666 | 2019-06-19 |
| 1003309428 | Holy Name Medical Center Inc | Pharmacy | 718 Teaneck Rd Ste 2, Teaneck, NJ 07666 | 2018-06-11 |
| 1619494150 | Synergy Homecare of Bergen County | In Home Supportive Care | 1029 Teaneck Road, Suite 3d, Teaneck, NJ 07666 | 2017-08-25 |
| 1811419278 | Genara O Ortiz | Specialist | 195 Sherman Ave., Teaneck, NJ 07666 | 2017-07-07 |
| 1689103061 | Carmeliza Ronquillo Gonzalo | Specialist | 836 Williams Avenue, Teaneck, NJ 07666 | 2017-06-08 |
| 1356875934 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1014 Palisade Avenue, Teaneck, NJ 07666 | 2017-04-20 |
| 1902358427 | Tamar Danzger | Social Worker | 530 Ogden Ave, Teaneck, NJ 07666 | 2016-11-01 |
| 1376093724 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 520 Cedar Ln, Teaneck, NJ 07666 | 2016-10-10 |
| Find all providers in zip 07666 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609489772 | Bushra Ali | Specialist/Technologist, Other | 1086 Teaneck Road, Suite 4a, Teaneck, NJ 07666 | 2020-08-28 |
| 1659801645 | Sean Thomas Mcgurn | Specialist/Technologist, Other | 1086 Teaneck Rd Ste 4a, Teaneck, NJ 07666-4858 | 2017-06-13 |
| 1396294062 | Kristen King | Specialist/Technologist, Other | 1086 Teaneck Rd, Suite 4a, Teaneck, NJ 07666-4854 | 2016-09-23 |
| 1790233815 | Christopher Mcintyre | Specialist/Technologist, Other | 1086 Teaneck Rd, Suite 4a, Teaneck, NJ 07666-4854 | 2016-09-18 |
| 1023566528 | Irene Halaka | Specialist/Technologist, Other | 1086 Teaneck Rd, Suite 4a, Teaneck, NJ 07666-4854 | 2016-09-14 |
| 1245788785 | Gabriel Santos | Specialist/Technologist, Other | 1086 Teaneck Rd Ste 4a, Teaneck, NJ 07666-4858 | 2016-09-13 |
| 1841745668 | Albert Keever | Specialist/Technologist, Other | 1086 Teaneck Rd, Suite 4a, Teaneck, NJ 07666-4854 | 2016-08-22 |
| 1215383682 | Brett Broussard | Specialist/Technologist, Other | 1086 Teaneck Rd, Ste 4a, Teaneck, NJ 07666-4854 | 2016-05-04 |
| 1831550706 | Michael F Mcintyre | Specialist/Technologist, Other | 1086 Teaneck Rd Ste 4a, Teaneck, NJ 07666-4858 | 2016-03-18 |
| 1417316332 | Derek D Ranieri | Specialist/Technologist, Other | 1086 Teaneck Rd, Teaneck, NJ 07666-4854 | 2016-02-19 |
| Find all providers in TEANECK | ||||
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| 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.