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

Kelly Dallas, PA-C

Individual provider Physician Assistant · NPI 1497091193

Kelly Dallas, PA-C is a Physician Assistant in Medford, New Jersey. Qualified in 2012, 14 years ago. Practices with Virtua Medical Group, PA, a 1,669-clinician group, works from 8 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
14
Licensed in
NJ
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

131 Route 70 Ste 100A
Medford, NJ 08055-9501
Phone: (609) 267-9400
Fax: (609) 451-5518
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (7)

  • 243 Us Highway 130 Ste 100, Bordentown, NJ 08505-2137 — (609) 267-9400
  • 2103 Mount Holly Rd, Burlington, NJ 08016-4157 — (609) 747-9200
  • 325 Route 70 E, Cherry Hill, NJ 08034-2408 — (609) 267-9400
  • 300 W Route 38 Ste A, Moorestown, NJ 08057-3424 — (609) 267-9400
  • 570 Egg Harbor Rd Ste C4-A, Sewell, NJ 08080-2359 — (609) 267-9400
  • 994 W Sherman Ave, Vineland, NJ 08360-6937 — (609) 267-9400
  • 200 Bowman Dr Ste E100, Voorhees, NJ 08043-9648 — (609) 267-9400

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00300900 (NJ)

Record details

NPI number1497091193
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 27, 2012
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Virtua Medical Group, Pa — 1669 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

Other providers in Medford