Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811027998 Individual Practitioner Female Practitioner

Dr. Kelly Jean Eberhardt , MD

Pediatrics • New Providence, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Kelly Eberhardt, MD is a registered healthcare professional specializing in Pediatrics in New Providence, NJ. Practice services are available at 556 CENTRAL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

556 Central Ave

New Providence, NJ 079741563

Telephone 9085080400
Fax 9085080370
Associated Practice Facility / Clinic
🏢 Steven Moskowitz Md Pa Facility NPI 1881748648

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in New Providence, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.6 Yrs
Regional Practice Density
7 Specialists

Practicing in New Providence, 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

CMS Verified: 2026-01-06
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NY 234824

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

NUCC Taxonomy Code: 208000000X

State License NJ 25MA11978600

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
02887378 (NY)

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1003968629

Doctor of Medicine (M.D.)

Doctor of Nursing Practice, Advanced Practice Nurse, Certified Pediatric Nurse Practitioner

NPI 1811049430

Doctor of Medicine (M.D.)

NPI 1922150549

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

16 Historical Events
📍
Updated Practice Location January 06, 2026

Registered at 556 CENTRAL AVE, NEW PROVIDENCE, NJ 079741563 (Tel: 9085080400)

📍
Updated Business Mailing Address January 06, 2026

Registered at 556 CENTRAL AVE, NEW PROVIDENCE, NJ 079741563 (Tel: 9085080400)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2026

Pediatrics (License #25MA11978600 in NJ)

📍
Updated Business Mailing Address September 23, 2025

Registered at 55 WATER ST FL 2, NEW YORK, NY 100410010 (Tel: 6466802888)

📍
Updated Business Mailing Address September 11, 2019

Registered at 55 WATER ST, 2ND FLOOR CRED DEPT, NEW YORK, NY 100410004 (Tel: 6466802888)

NPI Profile Active February 03, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address February 03, 2017

Registered at 55 WATER ST, 12TH FLOOR, CREDENTIALING, NEW YORK, NY 100410004 (Tel: 6466802888)

📍
Updated Practice Location February 03, 2017

Registered at 1050 CLOVE ROAD, STATEN ISLAND, NY 103013627 (Tel: 7182701480)

👤
Provider Name / Credentials Updated February 03, 2017

Recorded as KELLY EBERHARDT, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2017

Pediatrics (License #234824 in NY)

NPI Profile Active February 20, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 20, 2013

Registered at 1050 CLOVE ROAD, STATEN ISLAND, NY 103013627 (Tel: 7182701480)

📍
Updated Business Mailing Address February 20, 2013

Registered at 2791 RICHMOND AVENUE, SUITE 201, STATEN ISLAND, NY 103145859 (Tel: 7188166440)

👤
Provider Name / Credentials Updated February 20, 2013

Recorded as KELLY EBERHARDT, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2013

Pediatrics (License #234824 in NY)

🟢
Initial NPI Registration & Enumeration March 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Kelly Eberhardt. Be the first to share your experience!

Sign in to leave a review for Dr. Kelly Eberhardt

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1811027998
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2007
Last Update: January 06, 2026
Sole Proprietor: No

Mailing Address

556 Central Ave

New Providence, NJ 079741563

Phone: 9085080400

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.