DR. PETER KELLY (NPI# 1982869467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982869467 |
| Entity Type | Individual |
| Full Name | DR. PETER KELLY |
| Credential | D.O. |
| Practice Address |
110 Marter Ave Ste 503 Moorestown NJ 08057-3120 |
| Mailing Address |
1 Federal St Ste Sw200 Camden NJ 08103-1155 |
| Practice Telephone | 8566088840 |
| Mailing Telephone | 8563564924 |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2018-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25MB08657700 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609342245 | Peter Isaac Kelly | Technician | 17375 E Adriatic Dr Apt N102, Aurora, CO 80013-4138 | 2018-10-22 |
| 1114907458 | Peter F Kelly | Podiatrist | 4106 Electric Rd, Roanoke, VA 24014-2814 | 2006-01-20 |
| 1649271883 | Peter J Kelly | Ophthalmology | 1504 N Main St, Palmer, MA 01069-1215 | 2005-08-10 |
| 1548876154 | Peter Kelly | Occupational Therapist | 313 W County Line Rd, Hatboro, PA 19040-1102 | 2020-09-18 |
| 1730737529 | Peter Kelly | Chiropractor | 3055 Cass Rd Ste 102b, Traverse City, MI 49684-7940 | 2019-08-27 |
| 1396390118 | Peter Kelly | Physical Therapist | 940 High St, Westwood, MA 02090-2762 | 2019-08-08 |
| 1649558412 | Peter J Kelly | Dentist | 2520 Us Highway 1 S, St Augustine, FL 32086-6194 | 2011-07-28 |
| 1578853099 | Peter Kelly | Nurse Practitioner | 27005 76th Ave, Oncology Bldg., 3rd Floor, New Hyde Park, NY 11040-1402 | 2011-04-18 |
| 1205080850 | Peter Hamilton Kelly | Emergency Medicine | 776a Watervliet Shaker Rd, Access Health Systems, Latham, NY 12110 | 2008-11-10 |
| 1356557524 | Peter Meagher Kelly | Internal Medicine | 3291 Loma Vista Rd, Ventura, CA 93003-3099 | 2007-05-15 |
| Street Address |
110 MARTER AVE STE 503 |
| City | MOORESTOWN |
| State | NJ |
| Zip Code | 08057-3120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689209074 | Raquel Maria Screnci | Physical Therapy Assistant | Powerback, 212 Marter Avenue, Moorestown, NJ 08057 | 2020-03-06 |
| 1801363544 | Acts Signature Community Services, Inc. | Internal Medicine | 309 Bridgeboro Road, Moorestown, NJ 08057 | 2018-10-31 |
| 1427547447 | Bpt Physical Therapy LLC | Clinic/Center | 341 New Albany Rd Ste 120, Moorestown, NJ 08057 | 2018-05-04 |
| 1912416363 | Gold Bear Shuttle | Bus | 300 Mill Street, Moorestown, NJ 08057 | 2017-09-28 |
| 1811422595 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 67 Janeway Ave, Delran, NJ 08057 | 2017-05-01 |
| 1972050789 | Therapeutic Alternatives | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 236 West Route 38, Suite 210, Moorestown, NJ 08057 | 2016-09-09 |
| 1740653088 | Cathleen Wright | Acupuncturist | 505 South Lenola Road, Suite 121, Moorestown, NJ 08057 | 2015-11-09 |
| 1720469521 | Alexander's Vision Community Services, LLC | Supports Brokerage | 118 Oakmont Drive, Moorestown, NJ 08057 | 2015-06-17 |
| 1588045835 | Delta Community Supports, Inc. | Day Training, Developmentally Disabled Services | 740a Bellevue Ave, Hammonton, NJ 08057 | 2015-06-12 |
| 1164818134 | Rebecca Lynn Martz | Family Medicine | 740 Marne Hwy Ste 206, Moorestown, NJ 08057 | 2015-04-07 |
| Find all providers in zip 08057 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790311587 | Jennifer Joan Tiernan-palermo | Family Medicine | 301 N Church St Ste 101, Moorestown, NJ 08057-2498 | 2020-03-12 |
| 1538520564 | Central Pain and Wellness LLC | Family Medicine | 34 Sheffield Dr, Moorestown, NJ 08057-3091 | 2016-03-18 |
| 1164818134 | Rebecca Lynn Martz | Family Medicine | 740 Marne Hwy Ste 206, Moorestown, NJ 08057 | 2015-04-07 |
| 1083027056 | Robert Mills | Family Medicine | 401 Young Ave Ste 260, Moorestown, NJ 08057-3132 | 2014-06-08 |
| 1518386135 | Amanda Griffin | Family Medicine | 728 Marne Hwy Ste B, Moorestown, NJ 08057-3128 | 2014-04-10 |
| 1649570896 | Moront Medical Associates LLC | Family Medicine | 62 Palmer Dr, Moorestown, NJ 08057-3884 | 2010-10-21 |
| 1295980969 | Jasmeet Singh Bhogal | Family Medicine | 401 Young Avenue, Suite 180, Moorestown, NJ 08057-2427 | 2008-11-23 |
| 1477749182 | Irina Levin | Family Medicine | 714 East Main Street, Suite 1-c, Advocare Main Street Medical Associates, Moorestown, NJ 08057 | 2007-09-18 |
| 1689784894 | Steven Paul Horvitz | Family Medicine | 128 Bortons Landing Rd, Suite 2, Moorestown, NJ 08057-3011 | 2006-08-30 |
| 1134146566 | Primary Care of Moorestown PC | Family Medicine | 147 East Third St, Ste 2, Moorestown, NJ 08057-2965 | 2006-07-15 |
| Find all providers in MOORESTOWN | ||||
| City | MOORESTOWN |
| Zip Code | 08057 |
Please comment or provide details below to improve the information on DR. PETER KELLY.
| 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.