Kelly Ann Perez, PMHNP - Nurse Practitioner in Fanwood, NJ

Kelly Ann Perez, PMHNP is a Nurse Practitioner - Psychiatric/mental Health based in Fanwood, New Jersey. Kelly Ann Perez is licensed to practice in New Jersey (license number 26NJ15092100) and her current practice location is 26 Mary Ln, Fanwood, New Jersey. She can be reached at her office (for appointments etc.) via phone at (908) 472-5871.

NPI number for Kelly Ann Perez is 1528802220 and her current mailing address is 26 Mary Ln, Fanwood, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528802220.

Contact Information

Kelly Ann Perez, PMHNP
26 Mary Ln,
Fanwood, NJ 07023-1009
(908) 472-5871
Not Available

Map and Direction




Provider's Profile

Full NameKelly Ann Perez
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location26 Mary Ln, Fanwood, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1528802220
  • Provider Enumeration Date: 06/19/2024
  • Last Update Date: 06/19/2024

Medical Identifiers

Medical identifiers for Kelly Ann Perez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528802220NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 26NR11463600 (New Jersey)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 26NJ15092100 (New Jersey)Primary

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 Ann Perez is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Ann Perez, PMHNP
26 Mary Ln,
Fanwood, NJ 07023-1009

Ph: (908) 472-5871
Kelly Ann Perez, PMHNP
26 Mary Ln,
Fanwood, NJ 07023-1009

Ph: (908) 472-5871

Reviews and Comments


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