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KELLY CARROLL
NPI 1295693216
Physician Assistant in South Orange, NJ

Active since January 10, 2026
400 S ORANGE AVE, SOUTH ORANGE, NJ 07079(973) 761-9000 Get Directions Write a Review

NPPES record last updated: January 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Carroll NPPES

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

KELLY CARROLL (NPI 1295693216) is an individual physician assistant in South Orange, New Jersey and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1295693216
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY CARROLL
Location Address400 S ORANGE AVESouth Orange, NJ 07079-2646
Mailing Address400 S Orange AveSouth Orange, NJ 07079-2646
Phone(973) 761-9000
Sole ProprietorNo
Enumeration DateJanuary 10, 2026
NPPES CertifiedJanuary 10, 2026
✔ NPI 1295693216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
400 S ORANGE AVE, South Orange, NJ 07079
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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.

ERIN MICHELLE TYLER
Student in an Organized Health Care Education/Training Program
400 S ORANGE AVE
SOUTH ORANGE, NJ 07079
Essex County (973) 761-9000
JINU ELIZABETH PAULOSE
Student in an Organized Health Care Education/Training Program
400 S ORANGE AVE
SOUTH ORANGE, NJ 07079
Essex County (973) 761-9000
ADRIANA ESTEFANIA DE LEON
Student in an Organized Health Care Education/Training Program
400 S ORANGE AVE
SOUTH ORANGE, NJ 07079
Essex County (973) 761-9000
CHRISTINA CONTI CCC-SLP
Speech-Language Pathologist
400 S ORANGE AVE
SOUTH ORANGE, NJ 07079
Essex County (201) 673-8486
KHADIJAH FRIDAY
Student in an Organized Health Care Education/Training Program
400 S ORANGE AVE
SOUTH ORANGE, NJ 07079
Essex County (973) 761-9000
ADRIANNA PILEGGI
Student in an Organized Health Care Education/Training Program
400 S ORANGE AVE
SOUTH ORANGE, NJ 07079
Essex County (973) 761-9000
MRS. MARY E MURRAY ATC
Specialist/Technologist (Athletic Trainer)
400 S ORANGE AVE
SOUTH ORANGE, NJ 07079
Essex County (973) 275-2220
DR. MICHAEL F LA FOUNTAINE EDD, ATC, FACSM
Specialist/Technologist (Athletic Trainer)
400 S ORANGE AVE
SOUTH ORANGE, NJ 07079
Essex County (973) 275-2918

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 Carroll's NPI number?

The NPI number for Kelly Carroll is 1295693216. It was assigned to this individual provider in the NPPES registry on January 10, 2026.

Where is Kelly Carroll located?

Kelly Carroll practices at 400 S Orange Ave, South Orange, NJ 07079. The listed phone number is (973) 761-9000.

What is Kelly Carroll's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kelly Carroll was last updated on January 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.