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DR. KELLY D. FIFE M.D. NPI 1356343743


NPI Information

NPI: 1356343743
Provider Name: DR. KELLY D. FIFE, M.D.
Classification: Radiology - 2085R0001X
Entity Type: Individual

Specialization: Radiation Oncology

PECOS Registration: Yes

Address:
175 MADISON AVE
MOUNT HOLLY, NJ
ZIP 08060
Phone: (609) 267-0700
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DR. Kelly D. Fife, M.D. is a radiation oncology radiology in Mount Holly, NJ. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. DR. Kelly D. Fife, M.D. NPI is 1356343743. 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:

175 MADISON AVE
MOUNT HOLLY, NJ
ZIP 08060-038
Phone: (609) 267-0700
Fax: (609) 261-4180

The NPI 1356343743 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 8/15/2005 and was last updated on 8/28/2007.


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
12085R0001XRadiologyRadiation Oncology25MA04083900NEW 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
1043320MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
23715400MEDICAIDNEW JERSEY
3C58636MEDICARE UPIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.