Search › New Jersey › 163WL0100X
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 LlcInferred 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