DR. KELLY JEAN EBERHARDT MD
NPI 1811027998
Pediatrics in New Providence, NJ

Q: What is Kelly Eberhardt's NPI number?

The NPI number for Kelly Eberhardt is 1811027998. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Q: What is Kelly Eberhardt'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 Kelly Eberhardt was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since March 06, 2007PECOS Enrolled

556 CENTRAL AVE, NEW PROVIDENCE, NJ 07974(908) 508-0400(908) 508-0370 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 6, 2026, Sep 11, 2019, Feb 3, 2017 (3 updates tracked since 2017).

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About Dr. Kelly Jean Eberhardt Md NPPES

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

DR. KELLY JEAN EBERHARDT MD (NPI 1811027998) is an individual pediatrics provider in New Providence, New Jersey, licensed in New York (234824) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811027998

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. KELLY JEAN EBERHARDTCredential: MD

Location Address556 CENTRAL AVENew Providence, NJ 07974-1563

Mailing Address556 Central AveNew Providence, NJ 07974-1563 · (908) 508-0400 · Fax (908) 508-0370

Phone(908) 508-0400

Fax(908) 508-0370

Sole ProprietorNo

Enumeration DateMarch 6, 2007

Last NPPES UpdateJanuary 6, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2026

✔ NPI 1811027998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in NY · 234824✔ Licensed in NJ · 25MA11978600

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.

556 CENTRAL AVE, New Providence, NJ 07974

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Other Identifiers 1

Medicaid02887378NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelly Jean Eberhardt 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.

Medicare Billing Reassignments

Medicare enrollment records show Kelly Eberhardt reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physicians Of University Hospital PC

16 mi

Allergy & Immunology

1042 HUGUENOT AVE
Staten Island, NY 10312

Reassigned Medicare billing, New York enrollment
530 clinicians in this Medicare group

NPI 1013368224 (718) 317-7556

Advantagecare Physicians PC

16 mi

Internal Medicine

1050 CLOVE RD, UCC
Staten Island, NY 10301

Reassigned Medicare billing, New York enrollment
724 clinicians in this Medicare group

NPI 1063954113 (646) 680-1525

North Shore - Lij Medical PC

37 mi

Internal Medicine

270-05 76TH AVE
New Hyde Park, NY 11040

Reassigned Medicare billing, New York enrollment
9,353 clinicians in this Medicare group

NPI 1790043479 (516) 465-8089

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07974 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 5

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

MR. STEVEN MOSKOWITZ MD

Pediatrics