Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Ann Difabio, DO

Individual provider Emergency Medicine Physician · NPI 1265870091

Kelly Ann Difabio, DO is an Emergency Medicine Physician in Wall Township, New Jersey. Licensed in New Jersey. Registered with an NPI since 2013.

Licensed in
NJ
In the registry since
2013
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1825 Rte 35
Wall Township, NJ 07719-3541
Phone: (732) 280-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 25MB10085300 (NJ)

Record details

NPI number1265870091
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 14, 2013
Last updated in NPPESJanuary 19, 2018
Mailing address83 Vanard Dr, Brick, NJ 08723-7441

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