DESIREE D. NELSON-KELLY DPM NPI 1134343940

NPI Information

  • NPI: 1134343940
  • Provider Name: DESIREE D. NELSON-KELLY, DPM
  • Classification: Podiatrist - 213EP1101X
  • Specialization: Primary Podiatric Medicine
  • Entity Type: Organization
  • Address: 32 TENNYSON ST
    CARTERET, NJ
    ZIP 07008
  • Phone: (732) 541-1118

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NPI Details

DESIREE D. NELSON-KELLY, DPM is a primary podiatric medicine podiatrist in Carteret, NJ. DESIREE D. NELSON-KELLY, DPM NPI is 1134343940. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

32 TENNYSON ST
CARTERET, NJ
ZIP 07008-330
Phone: (732) 541-1118
Fax: (732) 541-2111

The provider's authorized official is Desiree Diane Nelson-kelly .
The authorized official title is Podiatrist and has the following contact phone number (732) 541-1118.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213EP1101XPodiatristPrimary Podiatric Medicine25MD002581NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
160009551OTHERNEW JERSEYHORIZON NJ HEALTH
22116024OTHERNEW JERSEYUNITED HEALTHCARE
32K9378OTHERNEW JERSEYHEALTHNET
4P3239784OTHERNEW JERSEYOXFORD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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