KELLY P KNOWLES MD NPI 1003895798

NPI Information

NPI: 1003895798
Provider Name: KELLY P KNOWLES, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
159 MILLBURN AVE
STE 1
MILLBURN, NJ
ZIP 07041
Phone: (973) 912-0155
Get Directions

Kelly P Knowles, MD is a pediatrics in Millburn, NJ. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Kelly P Knowles, MD NPI is 1003895798. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

159 MILLBURN AVE
STE 1
MILLBURN, NJ
ZIP 07041-849
Phone: (973) 912-0155
Fax: (973) 912-8714

The enumeration date for this NPI number is 1/11/2006 and was last updated on 1/2/2013.

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
1	2080A0000X	Pediatrics	Adolescent Medicine	25MA06821100	NEW JERSEY	No
2	208000000X	Pediatrics		25MA06821100	NEW JERSEY	Yes

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
1	010068211NJ01	OTHER	NEW JERSEY	ANTHEM HEALTH PIN
2	2532962	OTHER	NEW JERSEY	AETNA HMO PIN
3	956005	OTHER	NEW JERSEY	AMERIHEALTH PPO GRP PIN
4	1K7604	OTHER	NEW JERSEY	HEALTHNET PIN
5	606914	OTHER	NEW JERSEY	PHCS GRP ID
6	P2075112	OTHER	NEW JERSEY	OXFORD PIN
7	001427892	OTHER	NEW JERSEY	HIGH MARK PA BLUE SHIELD
8	223285437	OTHER	NEW JERSEY	BEECH ST GRP ID
9	0501095	OTHER	NEW JERSEY	AETNA HMO GRP ID
10	2113135000	OTHER	NEW JERSEY	AMERIHEALTH HMO PIN
11	223285437	OTHER	NEW JERSEY	HCPCS GRP ID
12	K4810	OTHER	NEW JERSEY	BCBS MANAGED CARE PIN
13	7182328007	OTHER	NEW JERSEY	CIGNA PIN
14	1997280	OTHER	NEW JERSEY	UNITED HEALTH CARE PIN
15	4102R	OTHER	NEW JERSEY	WELL CHOICE PIN

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: 5/5/2024

NPI Synchronization or Removal

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