DR. DAVID B KELLY III MD
NPI 1104314236
Pediatrics in Newark, NJ

Q: What is David Kelly's NPI number?

The NPI number for David Kelly is 1104314236. It was assigned to this individual provider in the NPPES registry on April 24, 2018.

Q: What is David Kelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for David Kelly was last updated on October 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 24, 2018PECOS Enrolled

201 LYONS AVE, NEWARK, NJ 07112(973) 926-7471(973) 926-6452 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 15, 2021, Apr 24, 2018 (2 updates tracked since 2018).

On this page

About Dr. David B Kelly Iii Md NPPES

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

DR. DAVID B KELLY III MD (NPI 1104314236) is an individual pediatrics provider in Newark, New Jersey, licensed in New Jersey (25MA11136800) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104314236

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. DAVID B KELLY IIICredential: MD

Location Address201 LYONS AVENewark, NJ 07112-2027

Mailing Address201 Lyons AveNewark, NJ 07112-2027 · (973) 926-7471 · Fax (973) 926-6452

Phone(973) 926-7471

Fax(973) 926-6452

Sole ProprietorNo

Enumeration DateApril 24, 2018

Last NPPES UpdateOctober 15, 20212 updates tracked since enumeration

NPPES CertifiedOctober 15, 2021

✔ NPI 1104314236 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 · 25MA11136800

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

201 LYONS AVE, Newark, NJ 07112

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David B Kelly Iii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. KEITH MICHAEL SPELLMAN M.D.

Radiology (Diagnostic Radiology)

201 LYONS AVE
NEWARK, NJ 07112

Essex County (973) 926-7960

DR. LARISSA SOPHIA DUDLEY M.D.

Emergency Medicine

201 LYONS AVE, SUITE D11
NEWARK, NJ 07112

Essex County (973) 926-6671

WAQAS BARI MD

Student in an Organized Health Care Education/Training Program

201 LYONS AVE
NEWARK, NJ 07112

Essex County (800) 843-2384

ERIKA YESENIA PINEDA MD

Pediatrics (Pediatric Critical Care Medicine)

201 LYONS AVE
NEWARK, NJ 07112

Essex County (973) 926-7000

CASEY YEONJOO CHO APN

Nurse Practitioner (Acute Care)

201 LYONS AVE
NEWARK, NJ 07112

Essex County (973) 926-6938

KARLINA NGUYEN PA-C

Physician Assistant

201 LYONS AVE
NEWARK, NJ 07112

Essex County (973) 926-7000

GARY LAYTON DDS

Student in an Organized Health Care Education/Training Program

201 LYONS AVE
NEWARK, NJ 07112

Essex County (973) 926-7642

DR. ALEXIS LORDI MD

Student in an Organized Health Care Education/Training Program

201 LYONS AVE
NEWARK, NJ 07112

Essex County (973) 900-4855

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 David Kelly's NPI number?

The NPI number for David Kelly is 1104314236. It was assigned to this individual provider in the NPPES registry on April 24, 2018.

Where is David Kelly located?

David Kelly practices at 201 Lyons Ave, Newark, NJ 07112. The listed phone number is (973) 926-7471.

What is David Kelly's specialty?

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

Is David Kelly enrolled in Medicare?

Yes. David Kelly is registered in the Medicare PECOS enrollment system.

What insurance does David Kelly accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list David Kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Kelly was last updated on October 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.