SearchNew Jersey163WL0100X

Kelly Johnson, BSN, RNC-MNN, CBC

NPI 1083274989 · on the registry since 2019 · sole proprietor

Practice

Address
240 E Palisade Ave Apt 5f
Englewood, NJ 07631
Phone
(201) 953-4284
Organisation at this address
Steven Factor
Fine Family Dental Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
163WL0100X
163WL0100X
Also registered as
374J00000X
174H00000X
163WM0102X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-02-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey