Healthcare Provider Details

I. General information

NPI: 1295870749
Provider Name (Legal Business Name): KELLY L ECKER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 HURFFVILLE CROSS KEYS RD DIVISION OF NEONATOLOGY
TURNERSVILLE NJ
08012-2453
US

IV. Provider business mailing address

435 HURFFVILLE CROSS KEYS RD
TURNERSVILLE NJ
08012-2453
US

V. Phone/Fax

Practice location:
  • Phone: 856-218-5092
  • Fax: 856-218-5084
Mailing address:
  • Phone: 856-218-5092
  • Fax: 856-218-5084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberH0069767
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberOS015243
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberC2-0011164
License Number StateDE
# 4
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number25MB12646500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: