KELLY CA MD
NPI 1932841004
Pediatrics in Mount Holly, NJ

Q: What is Kelly Ca's NPI number?

The NPI number for Kelly Ca is 1932841004. It was assigned to this individual provider in the NPPES registry on April 10, 2022.

Q: What is Kelly Ca'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 Ca was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 April 10, 2022PECOS Enrolled

175 MADISON AVE, MOUNT HOLLY, NJ 08060(609) 267-0700 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2025, Apr 26, 2022, Apr 10, 2022 (3 updates tracked since 2022).

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About Kelly Ca Md NPPES

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

KELLY CA MD (NPI 1932841004) is an individual pediatrics provider in Mount Holly, New Jersey, licensed in Pennsylvania (MD490404) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932841004

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameKELLY CACredential: MD

Location Address175 MADISON AVEMount Holly, NJ 08060-2038

Mailing Address175 Madison AveMount Holly, NJ 08060-2038

Phone(609) 267-0700

Sole ProprietorYes

Enumeration DateApril 10, 2022

Last NPPES UpdateJune 30, 20253 updates tracked since enumeration

NPPES CertifiedJune 30, 2025

✔ NPI 1932841004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in PA · MD490404

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.

175 MADISON AVE, Mount Holly, NJ 08060

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Ca 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08060 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

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

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 20

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

DR. JUBRIL OYEKANMI OYEYEMI M.D.

Internal Medicine