Kelly Kilroy, - Medicare Nurse Practitioner in Newark, NJ

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Kelly Kilroy, is a medicare enrolled "Nurse Practitioner" in Newark, New Jersey. Her current practice location is 1 Gateway Ctr Ste 2600, Newark, New Jersey. You can reach out to her office (for appointments etc.) via phone at (888) 731-8994.

Kelly Kilroy is licensed to practice in New Jersey (license number 26NJ00662800) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1578915989.

Contact Information

Kelly Kilroy,
1 Gateway Ctr Ste 2600,
Newark, NJ 07102-5323
(888) 731-8994
Not Available

Map and Direction




Provider's Profile

Full NameKelly Kilroy
GenderFemale
SpecialityNurse Practitioner
Location1 Gateway Ctr Ste 2600, Newark, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578915989
  • Provider Enumeration Date: 07/09/2016
  • Last Update Date: 08/18/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4284911280
  • Enrollment ID: I20170428001824

Medical Identifiers

Medical identifiers for Kelly Kilroy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578915989NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 26NR13811900 (New Jersey)Secondary
363L00000XNurse Practitioner 26NJ00662800 (New Jersey)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Kilroy allows following entities to bill medicare on her behalf.
Entity NameAtlanticare Health Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215987771
PECOS PAC ID: 7911810916
Enrollment ID: O20040719001204
Entity NameRonald C. Gove, Md, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417919176
PECOS PAC ID: 9931102597
Enrollment ID: O20060821000327
Entity NameRegenerative Medicine Of South Jersey Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992342109
PECOS PAC ID: 5799111860
Enrollment ID: O20200210000019
Entity NameActive Health Marmora Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629707369
PECOS PAC ID: 2961853122
Enrollment ID: O20240111004280
Entity NameActive Health Marlton Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265161905
PECOS PAC ID: 4486097706
Enrollment ID: O20240202003806

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Kilroy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Kilroy,
300 Church Rd,
Marmora, NJ 08223-1253

Ph: (609) 425-4321		Kelly Kilroy,
1 Gateway Ctr Ste 2600,
Newark, NJ 07102-5323

Ph: (888) 731-8994

Reviews and Comments


Nurse Practitioner Nurses in Newark, NJ

Mr. Michael C Cadorette, ANP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1 Gateway Ctr Ste 2600, Newark, NJ 07102
Phone: 866-949-0108    
Casey Yeonjoo Cho, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 201 Lyons Ave, Newark, NJ 07112
Phone: 973-926-6938    
Nirali S. Bhavsar, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1 Riverfront Plz Ste 300, Newark, NJ 07102
Phone: 201-273-7047    Fax: 855-998-4358
Amalia Zuna, DNP, CPNP-AC/PC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 201 Lyons Ave, Newark, NJ 07112
Phone: 973-926-7000    
Mrs. Kisha Tamara Anderson, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 151 Washington St, Newark, NJ 07102
Phone: 973-622-3900    Fax: 973-622-1698
Sabitri Nesbitt, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 151 Washington St, Newark, NJ 07102
Phone: 973-622-3900    Fax: 973-622-1698
Marva Monique, Natasha Barbour, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 394 University Ave, Newark, NJ 07102
Phone: 973-877-6171    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.