Individual provider · Type 1 NPI

Kelly Carroll

Physician Assistant · South Orange, NJ

NPI number 1295693216 Active

Practice location

400 S Orange Ave
South Orange, NJ 07079-2646

Call (973) 761-9000 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: 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, orde…

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About NPI 1295693216

Kelly Carroll's National Provider Identifier is 1295693216, issued on Jan 10, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in South Orange, NJ. The record was last updated on Jan 10, 2026.