Healthcare Provider Details

I. General information

NPI: 1508634585
Provider Name (Legal Business Name): KELLY LOPRESTI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2023
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 VALLEY HEALTH PLZ
PARAMUS NJ
07652-3628
US

IV. Provider business mailing address

151 VALLEY RD
RIVER EDGE NJ
07661-1728
US

V. Phone/Fax

Practice location:
  • Phone: 201-634-5300
  • Fax:
Mailing address:
  • Phone: 201-403-3168
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number26NJ14980900
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number26NR12667600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: