Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003895798 Individual Practitioner Female Practitioner

Dr. Kelly P Knowles , MD

Pediatrics • Millburn, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Kelly Knowles, MD is a registered healthcare professional specializing in Pediatrics in Millburn, NJ. Practice services are available at 159 MILLBURN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

159 Millburn Ave
Ste 1

Millburn, NJ 070411849

Telephone 9739120155
Fax 9739128714
Associated Practice Facility / Clinic
🏢 David M. Newman, M.d., Llc Facility NPI 1851441992

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Millburn, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 25.6 Yrs
Regional Practice Density
18 Specialists

Practicing in Millburn, NJ (2321 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NJ 25MA06821100

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.

Pediatrics - Adolescent Medicine

NUCC Taxonomy Code: 2080A0000X

State License NJ 25MA06821100

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Anthem Health Pin
010068211NJ01 (NJ)
Commercial Insurance / Payer ID Amerihealth Hmo Pin
2113135000 (NJ)
Commercial Insurance / Payer ID Healthnet Pin
1K7604 (NJ)
Commercial Insurance / Payer ID Amerihealth Ppo Grp Pin
956005 (NJ)
Commercial Insurance / Payer ID Oxford Pin
P2075112 (NJ)
Commercial Insurance / Payer ID Phcs Grp Id
606914 (NJ)
Commercial Insurance / Payer ID Bcbs Managed Care Pin
K4810 (NJ)
Commercial Insurance / Payer ID Aetna Hmo Grp Id
0501095 (NJ)
Commercial Insurance / Payer ID United Health Care Pin
1997280 (NJ)
Commercial Insurance / Payer ID Beech St Grp Id
223285437 (NJ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Subita Mangru , MD

Pediatrics - Adolescent Medicine

NPI 1043279193

Doctor of Medicine (M.D.)

Dr. Katherine Azaro , MD

Pediatrics - Adolescent Medicine

NPI 1770542821

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 02, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 02, 2013

Registered at 159 MILLBURN AVE, STE 1, MILLBURN, NJ 070411849 (Tel: 9739120155)

📍
Updated Business Mailing Address January 02, 2013

Registered at 159 MILLBURN AVE, STE 1, MILLBURN, NJ 070411849 (Tel: 9739120155)

👤
Provider Name / Credentials Updated January 02, 2013

Recorded as KELLY KNOWLES, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2013

Pediatrics (License #25MA06821100 in NJ)

🟢
Initial NPI Registration & Enumeration January 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003895798
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2006
Last Update: January 02, 2013
Sole Proprietor: No

Mailing Address

159 Millburn Ave, Ste 1

Millburn, NJ 070411849

Phone: 9739120155

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.