KELLY JENNIFER SUAREZ (PA-C) – Surgical Physician Assistant, NPI 1427376342

KELLY JENNIFER SUAREZ (PA-C) is a healthcare provider. based in Middletown, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9105022 (FL). The NPI Number for KELLY JENNIFER SUAREZ (PA-C) is 1427376342

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
KELLY JENNIFER SUAREZ (PA-C)
NPI
1427376342
Phone
(848) 225-6331
Address
480 RED HILL RD
Enumeration Date
17 May 2010
Last Update Date
23 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9085423007
Graduation Year
2009 (17 years ago)
PAC ID
0941495758
Group Practice PAC ID
1153619291
Professional Enrollment ID
I20181029002487
Address ID
NJ077483052MI480XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:16State licenses:2Digital endpointsOther names

3,578 PHYSICIAN ASSISTANT in NJ

Provider Addresses for KELLY JENNIFER SUAREZ (PA-C)

  • 480 RED HILL RD

    MIDDLETOWN, NJ 07748

    Phone: (848) 225-6331

    Fax: (212) 717-3169

    Type: Location

  • 231 GODWIN AVE UNIT 1

    RIDGEWOOD, NJ 074503709

    Phone: (786) 296-2309

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2024-06-18 • Largest payer in this snapshot: Boston Scientific Corporation ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-18

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181029002487IPhysician AssistantNJTBD
I20250424000114IPhysician AssistantNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07748)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153619291View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationNY
-NY
Interventional Radiology, Diagnostic RadiologyNY
Diagnostic RadiologyNC
Nurse PractitionerNY
Clinical PsychologistTX
Nurse PractitionerNJ
Anesthesiology, Internal Medicine, Pain Management, Pain Management, AnesthesiologyNJ
Nurse PractitionerNY
Medical OncologyNY

Reviews

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Frequently asked questions

What federal number belongs to KELLY JENNIFER SUAREZ (PA-C)?
The federal identifier for KELLY JENNIFER SUAREZ (PA-C) is NPI 1427376342.
Is KELLY JENNIFER SUAREZ (PA-C)'s NPI currently valid?
The extract we use shows KELLY JENNIFER SUAREZ (PA-C) as active.
Does KELLY JENNIFER SUAREZ (PA-C) list a primary specialty?
If you are matching referrals, note Surgical Physician Assistant for KELLY JENNIFER SUAREZ (PA-C). Clinical services aligned with this taxonomy classification.
Where is KELLY JENNIFER SUAREZ (PA-C)'s primary listing?
We display Middletown, New Jersey because that is what the record indicates for KELLY JENNIFER SUAREZ (PA-C).
What if Middletown, New Jersey seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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