MARY JO ANNE KELLY


Address: 1014 Whitehead Road Ext, Ewing, NJ 08638-2406
Phone: 6097713777

MARY JO ANNE KELLY (NPI# 1558803809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558803809
Entity Type Individual
Full Name MARY JO ANNE KELLY
Credential PMHNP-BC
Practice Address 1014 Whitehead Road Ext
Ewing
NJ 08638-2406
Practice Telephone 6097713777
Practice Fax Number 6097718041
Mailing Telephone 6097713777
Mailing Fax Number 6097718041
Enumeration Date 2016-11-16
Last Update Date 2016-11-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
26NJ00669700 NJ Physician Assistants & Advanced Practice Nursing Providers

Other Providers MARY JO KELLY

NPI Name Taxonomy Address Enumeration
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Office Location

Street Address 1014 WHITEHEAD ROAD EXT
City EWING
State NJ
Zip Code 08638-2406

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275938193 Phoenix Behavioral Health LLC Clinic/Center 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 2014-11-04
1427611185 Phoenix Support Services LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 2019-04-18
1992267132 Phoenix Behavioral Health LLC Clinic/Center 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 2019-04-05
1659869576 Justin Dunn Counselor 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 2018-04-26
1316435266 Parizatis R Alaie Counselor 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 2018-04-26
1255829263 Alaina Chapman Counselor 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 2018-04-25
1811485824 Himie Wesley Counselor 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 2018-04-25
1881182897 Francesca Scirocco Counselor 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 2018-04-25
1386132397 Gabrielle Petosa Counselor 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 2018-04-25
1356839369 Dayna Giel Counselor 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 2018-04-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114493244 Dungarvin New Jersey, LLC - Whitehead II Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1015 Whitehead Road Extension, Apt 209 & 217, Ewing, NJ 08638 2018-10-16
1285145714 Lifeties Inc. Social Worker 2205 Pennington Road, Trenton, NJ 08638 2017-10-24
1720502792 Rola Behavioral Services LLC Registered Nurse 1676 North Olden Ave, Bldg 1, Ewing, NJ 08638 2017-08-01
1295264562 Ijeoma Audrey Okpara Behavior Technician 67 Oak Street, Trenton, NJ 08638 2017-06-08
1962878736 Meals On Wheels of Mercer County, Inc. Home Delivered Meals 320 Hollowbrook Drive, Ewing, NJ 08638 2015-08-17
1770917031 Erica Jane Mclaughlin Physician Assistant 750 Bruinswick Ave, Trenton, NJ 08638 2013-08-22
1396013975 Capital Health General Acute Care Hospital 832 Brunswick Ave., Trenton, NJ 08638 2011-12-09
1174800197 Kashif Syed Anwar Family Medicine 1450 Parkside Ave Ste 5, Ewing, NJ 08638 2011-11-04
1235394578 Neuromechanical Pain Management Associates PC Chiropractor 1330 Calhoun Street, Suite 2, Trenton, NJ 08638 2008-07-25
1861684185 Youth Education and Transition Services Counselor 702 Brunswick Ave, Trenton, NJ 08638 2007-08-10
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982243937 Tonnesha Kidd Nurse Practitioner 3 Chelmsford Dr, Ewing, NJ 08618-1809 2019-12-22
1083250484 Olasumbo Oladeru Nurse Practitioner 4 Boleyn Ct, Ewing, NJ 08628-2231 2019-11-20
1740642503 Lissa Edmond Nurse Practitioner 1330 Parkway Ave Ste 7, Ewing, NJ 08628-3006 2016-03-22
1588281505 Nerlande Charles Nurse Practitioner 100 Charles Ewing Blvd Ste 160, Ewing, NJ 08628-3456 2020-06-26
1578112587 Titilayo Julianah Gureje Nurse Practitioner 101 Sullivan Way, Ewing, NJ 08628-3425 2019-09-11
1215584107 Carline F Archille Nurse Practitioner 101 Sullivan Way, Ewing, NJ 08628-3425 2019-08-24
1225510308 Vaishali Desai Nurse Practitioner 100 Charles Ewing Blvd Ste 160, Ewing, NJ 08628-3456 2018-09-05
1366814022 Mahip Gupta Nurse Practitioner 830 Bear Tavern Rd, Ewing, NJ 08628-1020 2015-10-21
1003158502 Grant Marshall Myers Nurse Practitioner 830 Bear Tavern Rd, Ewing, NJ 08628-1020 2013-03-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821699943 Ernest Akwaboah Nurse Practitioner 87 Burnett Ave, Maplewood, NJ 07040-3094 2020-11-04
1548861081 Temitope Akande Nurse Practitioner 557 Liberty St, Orange, NJ 07050-1275 2020-11-02
1538767587 Ruth Yamoah-cofie Nurse Practitioner 1160 E 7th St, Plainfield, NJ 07062-1906 2020-10-13
1336756170 Jacqueline Michele Arnone Nurse Practitioner 105 Windward Dr, Manahawkin, NJ 08050-3345 2020-09-25
1750997789 Eunice Ramos Nurse Practitioner 300-a Forest Avenue, Paramus, NJ 07652 2020-09-15
1174138952 Darlene Lupo Nurse Practitioner 72 Morris Ave, Neptune, NJ 07753 2020-09-09
1841804960 Claudette L Blake Nurse Practitioner 890 Terrill Rd, Plainfield, NJ 07062-2250 2020-09-04
1982217873 Ifeoma E Iherobiem Nurse Practitioner 884 S Springfield Ave Apt 18, Springfield, NJ 07081-3320 2020-08-28
1871106088 Firmin Langyin Nurse Practitioner 200 Station Dr Apt 207, Avenel, NJ 07001-1793 2020-08-26
1205448859 Yanick E Jean Nurse Practitioner 32 Deerfield Dr, West Orange, NJ 07052-3627 2020-08-17
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Competitor

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City EWING
Zip Code 08638

Improve Information

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Dataset Information

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.

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