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

Kelly S Mourtzanakis, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679367908

Kelly S Mourtzanakis, MD is a Student in an Organized Health Care Education/Training Program in Neptune City, New Jersey. Licensed in New Jersey. Registered with an NPI since 2025.

Licensed in
NJ
In the registry since
2025
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1945 NJ-33
Neptune City, NJ 07753
Phone: (732) 775-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (NJ)

Record details

NPI number1679367908
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2025
Last updated in NPPESApril 9, 2025
Certification dateApril 2, 2025

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