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Contact Information

MARY KELLY, APN
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ07922-2104
 Phone: 908-277-8890
 Fax: 908-673-7390
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oncology

364SX0200X 89 Certified Clinical Nurse Specialist
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARY KELLY · (Female)

NPI # 1922292820
Status Active
Credentials APN
Entity Individual
Enumeration date 09/04/2007
Last updated 03/03/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 26NJ00135500
  • NJ License # 26NO10993300
Hospital affiliation(s)
  • OVERLOOK HOSPITAL - (Acute Care)
    99 BEAUVOIR AVENUE
    SUMMIT, NJ 07902
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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