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KENNETH LY
NPI 1104558170
Family Medicine in Phillipsburg, NJ

Active since June 28, 2022PECOS EnrolledAccepts Medicare Assignment
200 STRYKERS RD STE 1, PHILLIPSBURG, NJ 08865(908) 847-6568(866) 278-3009 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kenneth Ly NPPES

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

KENNETH LY (NPI 1104558170) is an individual family medicine provider in Phillipsburg, New Jersey, licensed in New Jersey (25MA12797600) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with St Luke's Warren Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1104558170
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKENNETH LY
Location Address200 STRYKERS RD STE 1Phillipsburg, NJ 08865-9465
Mailing Address200 Strykers Rd Ste 1Phillipsburg, NJ 08865-9465 · (908) 847-6568 · Fax (866) 278-3009
Phone(908) 847-6568
Fax(866) 278-3009
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 28, 2022
Last NPPES UpdateAugust 25, 2025
NPPES CertifiedAugust 12, 2025
✔ NPI 1104558170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MA12797600
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
200 STRYKERS RD STE 1, Phillipsburg, NJ 08865
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kenneth Ly is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345742763
PECOS Enrollment IDI20250905001073
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.

Medicare Billing Reassignment

Medicare enrollment records show Kenneth Ly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Luke's Warren Physician Group, PC
0.1 mi
Urgent Care
200 STRYKERS RD
Phillipsburg, NJ 08865
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: St Lukes Warren Physician Group PC
  • 528 clinicians in this Medicare group
NPI 1801364989 (908) 847-1035

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Warren Hospital

Acute Care Hospitals · Phillipsburg, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310060
Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County
Emergency services

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08865 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 2

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

SHILPA REDDY
Family Medicine
200 STRYKERS RD STE 1
PHILLIPSBURG, NJ 08865
Warren County (908) 847-6568
SONIA SHARMA CRNP
Nurse Practitioner (Family)
200 STRYKERS RD STE 1
PHILLIPSBURG, NJ 08865
Warren County (908) 847-6568

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 Kenneth Ly's NPI number?

The NPI number for Kenneth Ly is 1104558170. It was assigned to this individual provider in the NPPES registry on June 28, 2022.

Where is Kenneth Ly located?

Kenneth Ly practices at 200 Strykers Rd Ste 1, Phillipsburg, NJ 08865. The listed phone number is (908) 847-6568.

What is Kenneth Ly's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kenneth Ly enrolled in Medicare?

Yes. Kenneth Ly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kenneth Ly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Ly reassigns Medicare benefits to St. Luke's Warren Physician Group, PC (Phillipsburg, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Ly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Ly accept?

Health plans from Oscar Health list Kenneth Ly 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.

Is Kenneth Ly affiliated with any hospitals?

According to CMS data, Kenneth Ly is affiliated with St Luke's Warren Hospital and St Luke's Hospital Bethlehem.

When was this NPI record last updated?

The NPPES record for Kenneth Ly was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.