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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KELLY MAN
NPI 1861308306
Nurse Practitioner - Psychiatric/Mental Health in Eatontown, NJ

Active since August 24, 2026
61 JAMES WAY, EATONTOWN, NJ 07724(732) 724-1234 Get Directions Write a Review

NPPES record added: August 24, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kelly Man NPPES

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

KELLY MAN (NPI 1861308306) is an individual psychiatric/mental health provider in Eatontown, New Jersey, licensed in New Jersey (26NJ15618700) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1861308306
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKELLY MAN
Location Address61 JAMES WAYEatontown, NJ 07724-2272
Mailing Address23 Seaview AveKeansburg, NJ 07734-1225
Phone(732) 724-1234
Sole ProprietorYes
Enumeration DateAugust 24, 2026
NPPES CertifiedAugust 24, 2026
✔ NPI 1861308306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ15618700
61 JAMES WAY, Eatontown, NJ 07724
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Other Providers at the Same Location NPPES 6

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

MRS. VANESSA MARIE SIEGWARTH MSW, LSW
Social Worker
61 JAMES WAY
EATONTOWN, NJ 07724
Monmouth County (732) 724-1234
ANN-MARIE FAITH ANTHONY
Nurse Practitioner (Psychiatric/Mental Health)
61 JAMES WAY
EATONTOWN, NJ 07724
Monmouth County (732) 724-1234
TARA BRAZZANO
Social Worker
61 JAMES WAY
EATONTOWN, NJ 07724
Monmouth County (732) 724-1234
AMEENA QOBRTAY
Social Worker
61 JAMES WAY
EATONTOWN, NJ 07724
Monmouth County (732) 724-1234
SHALA STAPLE LSW, MSW, SSW-CERT.
Social Worker
61 JAMES WAY
EATONTOWN, NJ 07724
Monmouth County (609) 301-0851
EMILY SALLUSTIO
Counselor (Mental Health)
61 JAMES WAY
EATONTOWN, NJ 07724
Monmouth County (732) 724-1234

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 Man's NPI number?

The NPI number for Kelly Man is 1861308306. It was assigned to this individual provider in the NPPES registry on August 24, 2026.

Where is Kelly Man located?

Kelly Man practices at 61 James Way, Eatontown, NJ 07724. The listed phone number is (732) 724-1234.

What is Kelly Man's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Kelly Man was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.