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MRS. KAREN J KELLY RD
NPI 1679731301
Dietitian, Registered in Hoboken, NJ

Active since May 29, 2008
613 BLOOMFIELD ST, # 3, HOBOKEN, NJ 07030(201) 264-4065 Get Directions Write a Review

NPPES record last updated: May 29, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Karen J Kelly Rd NPPES

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

MRS. KAREN J KELLY RD (NPI 1679731301) is an individual dietitian, registered in Hoboken, New Jersey, licensed in New Jersey (883338) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1679731301
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. KAREN J KELLYCredential: RD
Location Address613 BLOOMFIELD ST, # 3Hoboken, NJ 07030-4912
Mailing Address613 Bloomfield St, # 3Hoboken, NJ 07030-4912 · (201) 264-4065
Phone(201) 264-4065
Sole ProprietorNo
Enumeration DateMay 29, 2008
✔ NPI 1679731301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NJ · 883338
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
613 BLOOMFIELD ST, Hoboken, NJ 07030
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Karen J Kelly Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Laparoscopic Edge, PC
14 mi
Surgery
700 RAHWAY AVE
Union, NJ 07083
  • Reassigned Medicare billing, New Jersey enrollment
  • 7 clinicians in this Medicare group
NPI 1992024095 (908) 481-1270

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

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 Karen Kelly's NPI number?

The NPI number for Karen Kelly is 1679731301. It was assigned to this individual provider in the NPPES registry on May 29, 2008.

Where is Karen Kelly located?

Karen Kelly practices at 613 Bloomfield St # 3, Hoboken, NJ 07030. The listed phone number is (201) 264-4065.

What is Karen Kelly's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Karen Kelly enrolled in Medicare?

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

Which organization bills Medicare for Karen Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Kelly reassigns Medicare benefits to Laparoscopic Edge, PC (Union, 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 Karen Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Karen Kelly was last updated on May 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.