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KELLY P KNOWLES MD
NPI 1003895798
Pediatrics in Millburn, NJ

Active since January 11, 2006
159 MILLBURN AVE, STE 1, MILLBURN, NJ 07041(973) 912-0155(973) 912-8714 Get Directions Write a Review

NPPES record last updated: January 2, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly P Knowles Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY P KNOWLES MD (NPI 1003895798) is an individual pediatrics provider in Millburn, New Jersey, licensed in New Jersey (25MA06821100) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1003895798
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKELLY P KNOWLESCredential: MD
Location Address159 MILLBURN AVE, STE 1Millburn, NJ 07041-1849
Mailing Address159 Millburn Ave, Ste 1Millburn, NJ 07041-1849 · (973) 912-0155 · Fax (973) 912-8714
Phone(973) 912-0155
Fax(973) 912-8714
Sole ProprietorNo
Enumeration DateJanuary 11, 2006
Last NPPES UpdateJanuary 2, 2013
✔ NPI 1003895798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MA06821100
Definition
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.
Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License 25MA06821100 (NJ)
159 MILLBURN AVE, Millburn, NJ 07041
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Other Names 1

Former Name (1)Kelly Petrison Md

Other Identifiers 15

Other010068211NJ01NJ · Anthem Health Pin
Other2532962NJ · Aetna Hmo Pin
Other956005NJ · Amerihealth Ppo Grp Pin
Other1K7604NJ · Healthnet Pin
Other606914NJ · Phcs Grp Id
OtherP2075112NJ · Oxford Pin
Other001427892NJ · High Mark Pa Blue Shield
Other223285437NJ · Beech St Grp Id
Other0501095NJ · Aetna Hmo Grp Id
Other2113135000NJ · Amerihealth Hmo Pin
Other223285437NJ · Hcpcs Grp Id
OtherK4810NJ · Bcbs Managed Care Pin
Other7182328007NJ · Cigna Pin
Other1997280NJ · United Health Care Pin
Other4102RNJ · Well Choice Pin

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FASHION EYEWEAR OF ESSEX
Eyewear Supplier
159 MILLBURN AVE
MILLBURN, NJ 07041
Essex County (973) 912-0031
DR. SUBITA S MANGRU M.D.
Pediatrics (Adolescent Medicine)
159 MILLBURN AVE
MILLBURN, NJ 07041
Essex County (973) 912-0155
SHORT HILLS MEDICAL ASSOCIATES LLC
Family Medicine
159 MILLBURN AVE
MILLBURN, NJ 07041
Essex County (908) 989-0803
ALAN N JACOBS MD
Psychiatry & Neurology (Psychiatry)
159 MILLBURN AVE
MILLBURN, NJ 07041
Essex County (973) 379-2215
GLORIA RITACCO-STEWART LCSW
Social Worker
159 MILLBURN AVE
MILLBURN, NJ 07041
Essex County (973) 376-2000
GAYLE S SHULMAN MD, LLC
Ophthalmology
159 MILLBURN AVE
MILLBURN, NJ 07041
Essex County (973) 912-4433
MRS. SUSAN SPRAGUE-LEE LCSW
Social Worker (Clinical)
159 MILLBURN AVE
MILLBURN, NJ 07041
Essex County (973) 796-7951
SETHI PSYCHIATRIC ASSOCIATES, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
159 MILLBURN AVE
MILLBURN, NJ 07041
Essex County (973) 220-1747

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Knowles's NPI number?

The NPI number for Kelly Knowles is 1003895798. It was assigned to this individual provider in the NPPES registry on January 11, 2006. The provider is also known as Kelly Petrison MD.

Where is Kelly Knowles located?

Kelly Knowles practices at 159 Millburn Ave Ste 1, Millburn, NJ 07041. The listed phone number is (973) 912-0155.

What is Kelly Knowles's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Kelly Knowles was last updated on January 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.