LISA-ANN KELLY
NPI 1235537580
Nurse Practitioner - Pediatrics in Wayne, NJ

Active since December 18, 2014
150 HINCHMAN AVE, WAYNE, NJ 07470(973) 595-6996(973) 595-6706 Get Directions Write a Review

NPPES record last updated: December 18, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa-ann Kelly NPPES

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

LISA-ANN KELLY (NPI 1235537580) is an individual pediatrics provider in Wayne, New Jersey, licensed in New Jersey (26NN09168300) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1235537580
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameLISA-ANN KELLY
Location Address150 HINCHMAN AVEWayne, NJ 07470-2360
Mailing Address150 Hinchman AveWayne, NJ 07470-2360 · (973) 595-6996 · Fax (973) 595-6706
Fax(973) 595-6706
Sole ProprietorNo
Enumeration DateDecember 18, 2014
NPI 1235537580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in NJ · 26NN09168300
150 HINCHMAN AVE, Wayne, NJ 07470

Other Names 1

Former Name (1)Miss Lisa-ann Lutz Np

Other Identifiers 3

Medicare UPINS64648NJ
Medicaid7671008NJ
Medicare PIN020304

Other Providers at the Same Location NPPES 3

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

Pediatrics
150 HINCHMAN AVE
WAYNE, NJ 07470
Counselor
150 HINCHMAN AVE
WAYNE, NJ 07470
Dentist (Orthodontics and Dentofacial Orthopedics)
150 HINCHMAN AVE
WAYNE, NJ 07470

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 Lisa-ann Kelly's NPI number?

The NPI number for Lisa-ann Kelly is 1235537580. It was assigned to this individual provider in the NPPES registry on December 18, 2014. The provider is also known as Miss Lisa-Ann Lutz Np.

Where is Lisa-ann Kelly located?

Lisa-ann Kelly practices at 150 Hinchman Ave, Wayne, NJ 07470. The listed phone number is (973) 595-6996.

What is Lisa-ann Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Lisa-ann Kelly was last updated on December 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.