KELLIE ANN KASPER
Physician Assistant

Address: 403 Bethel Rd, Somers Point, NJ 08244-2108

KELLIE ANN KASPER (NPI# 1245857721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245857721
Entity Type Individual
Full Name MS. KELLIE ANN KASPER
Gender Female
Credential PA-C
Practice Address 403 Bethel Rd
Somers Point
NJ 08244-2108
Practice Telephone 6099278746
Practice Fax Number 6096538807
Mailing Address 403 Bethel Rd
Somers Point
NJ 08244-2108
Mailing Telephone 6099278746
Mailing Fax Number 6096011406
Certification Date 2020-08-20
Enumeration Date 2020-06-30
Last Update Date 2020-08-20
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 193400000X SINGLE SPECIALTY GROUP Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NJ NJ MEDICAL LICENSE 25MP00566600 Other

Physician Overview

PECOS Associate Control (PAC) ID 7214354224
by Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20200903003574
Last Name KASPER
First Name KELLIE
Middle Name ANN
Organization Legal Name JERSEY UROLOGY GROUP P. A.
Location 403 Bethel Rd, Somers Point, NJ 08244-2108
Phone Number 6099278746
Medical School DREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduation Year 2019
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 2264434703
Number of Group Practice Members 13

Office Location

Street Address 403 BETHEL RD
City SOMERS POINT
State NJ
Zip Code 08244-2108

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184679581 Francis J Wren Urology 403 Bethel Rd, Somers Point, NJ 08244-2188 2006-05-23
1710528146 Casey Ann Mauger Physician Assistant 403 Bethel Rd, Somers Point, NJ 08244-2108 2019-10-07
1336607514 Kaitlin M Freeswick Physician Assistant 403 Bethel Rd, Somers Point, NJ 08244-2108 2019-03-07
1508337312 Alexandra Caulfield Physician Assistant 403 Bethel Rd, Somers Point, NJ 08244-2108 2018-12-06
1700379757 Krista J Basso Physician Assistant 403 Bethel Rd, Somers Point, NJ 08244-2108 2018-06-13
1467945733 Elissa J Dikun Physician Assistant 403 Bethel Rd, Somers Point, NJ 08244 2018-06-12
1477808913 Anne Wildermuth Physician Assistant 403 Bethel Rd, Somers Point, NJ 08244-2108 2012-07-20
1316276322 Megan L Mckinney Physician Assistant · Medical 403 Bethel Rd, C/O Jersey Urology Group P. A., Somers Point, NJ 08244-2188 2009-12-22
1073776761 Raymond Mark Bernal Urology 403 Bethel Rd, Somers Point, NJ 08244-2108 2008-07-03
1407018575 Abraham M Spence Urology 403 Bethel Rd, Somers Point, NJ 08244 2008-06-30
Find all providers in the same address

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295040749 Mkg Pain Associates, LLC Pain Medicine · Interventional Pain Medicine 401 Bethel Rd, Somers Point, NJ 08244-2108 2010-08-09
1952427817 Nirmala Basavanand Allergy & Immunology · Allergy 419 Bethel Road, Somers Point, NJ 08244-2108 2007-03-22
1467412437 Susan Gara Nurse Anesthetist, Certified Registered 405 Bethel Rd, Somers Point, NJ 08244-2108 2006-03-24
1447561766 Medikine Group LLC Anesthesiology 405 Bethel Rd, Somers Point, NJ 08244-2108 2010-07-01
1184686164 Shore Ambulatory Surgical Center, LLC Clinic/Center · Ambulatory Surgical 405 Bethel Rd, Somers Point, NJ 08244-2108 2006-04-05

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1376185181 Robert Bray Dentist · Orthodontics and Dentofacial Orthopedics 620 Shore Road, Somers Point, NJ 08244 2019-10-14
1730613316 The Devereux Foundation · Devereux Advanced Behavioral Health Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 103 Euclid Avenue, Somers Point, NJ 08244 2017-04-20
1578008652 Atlanticare Physicians Group Clinic/Center · Primary Care 443 Shore Rd., 2nd Floor, Suite 201, Somers Point, NJ 08244 2016-12-29
1376095521 National Vision, Inc. · America's Best Contacts & Eyeglasses Technician/Technologist · Optician 11 & 13a Bethel Rd, Somers Point, NJ 08244 2016-11-03
1548621394 Christol Alfreda Reynolds Case Manager/Care Coordinator 40 Chapman Blvd Apt C09, Somers Point, NJ 08244 2016-03-08
1568822468 Kristin Miller Dietitian, Registered Shore Medical Center 100 Medical Center Way, Somers Point, NJ 08244 2016-03-04
1215315775 Samantha Hill Social Worker · Clinical 549 New Rd Ste E, Somers Point, NJ 08244 2015-05-15
1992057459 Golden Heart Adult Day Care, Inc · Golden Heart Adult Day Care Clinic/Center · Adult Day Care 101 Shore Rd, Somers Point, NJ 08244 2012-10-09
1194012856 Latoya Roberts · Latoya Khalil Hospitalist 1 E. New York Ave, Somers Point, NJ 08244 2011-07-01
1518252873 Shore Memorial Physicians Group PC Family Medicine 401 Bethel Road, Somers Point, NJ 08244 2011-06-15
Find all providers in zip 08244

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619136967 Monica M Eckman 18w New York Avenue, Somers Point, NJ 08244-1872 2008-06-03
1215572672 Jacqueline Carey 235 Shore Rd, Somers Point, NJ 08244-2655 2019-11-08
1710528146 Casey Ann Mauger 403 Bethel Rd, Somers Point, NJ 08244-2108 2019-10-07
1336607514 Kaitlin M Freeswick 403 Bethel Rd, Somers Point, NJ 08244-2108 2019-03-07
1508337312 Alexandra Caulfield 403 Bethel Rd, Somers Point, NJ 08244-2108 2018-12-06
1700379757 Krista J Basso 403 Bethel Rd, Somers Point, NJ 08244-2108 2018-06-13
1467945733 Elissa J Dikun 403 Bethel Rd, Somers Point, NJ 08244 2018-06-12
1154792729 Katelyn D Wegfahrt 24 Macarthur Blvd, Somers Point, NJ 08244-1776 2015-10-08
1285075374 Jillian A Garbutt 100 Medical Center Way, Somers Point, NJ 08244-2300 2013-07-17
1477808913 Anne Wildermuth 403 Bethel Rd, Somers Point, NJ 08244-2108 2012-07-20
Find all providers in SOMERS POINT

Competitor

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City SOMERS POINT
Zip Code 08244

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.