MICHAEL KELLY NPI 1144389602

NPI Information

  • NPI: 1144389602
  • Provider Name: MICHAEL KELLY
  • Classification: Pediatrics - 2080P0203X
  • Specialization: Pediatric Critical Care Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1 ROBERT WOOD JOHNSON PL
    ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - NEW BRUNSWICK
    NEW BRUNSWICK, NJ
    ZIP 08901
  • Phone: (732) 235-7900

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NPI Details

Michael Kelly is a pediatric critical care medicine pediatrics in New Brunswick, NJ. The provider is a pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. Michael Kelly NPI is 1144389602. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 ROBERT WOOD JOHNSON PL
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - NEW BRUNSWICK
NEW BRUNSWICK, NJ
ZIP 08901-928
Phone: (732) 235-7900

The NPI 1144389602 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/8/2006 and was last updated on 6/14/2010.

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
12080P0203XPediatricsPediatric Critical Care MedicineMA73393NEW 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
1179582A0ZMEDICARE UPINNEW JERSEY
28751609MEDICAIDNEW JERSEY
3056921MEDICARE PINNEW JERSEY
4179582B7AMEDICARE UPINNEW JERSEY
5G86943MEDICARE UPINNEW JERSEY
6179582CGDMEDICARE PINNEW JERSEY

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: 11/21/2025

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