LESA A. KELLY MD PLLC (NPI# 1124277348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124277348 |
| Entity Type | Organization |
| Organization Name | LESA A. KELLY MD PLLC |
| Practice Address |
77 Quaker Ridge Rd Suite 200a New Rochelle NY 10804-2808 |
| Practice Telephone | 9146372663 |
| Mailing Telephone | 9146372663 |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-11-18 |
| Authorized Official Name | LESA A KELLY (SOLE PROPRIETOR) |
| Authorized Official Telephone | 9146372663 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE PTAN | A100000388 | 01 |
| Street Address |
77 QUAKER RIDGE RD SUITE 200A |
| City | NEW ROCHELLE |
| State | NY |
| Zip Code | 10804-2808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275532822 | Maria L Wing | Internal Medicine | 77 Quaker Ridge Rd, Suite 200a, New Rochelle, NY 10804-2808 | 2005-07-17 |
| 1790149235 | New Rochelle Oral Surgery | Dentist | 77 Quaker Ridge Rd, Suite 212, New Rochelle, NY 10804-2808 | 2016-04-11 |
| 1780072165 | New Rochelle Kids Dental | Dentist | 77 Quaker Ridge Rd, Suite 210, New Rochelle, NY 10804-2808 | 2015-01-07 |
| 1972873693 | Liliya Sikyrynska | Physician Assistant | 77 Quaker Ridge Rd, Suite 200a, New Rochelle, NY 10804-2808 | 2012-01-11 |
| 1831473222 | Weill Medical College of Cornell University | Internal Medicine | 77 Quaker Ridge Rd, New Rochelle, NY 10804-2808 | 2011-10-04 |
| 1619134673 | New Rochelle Orthodontics PC | Dentist | 77 Quaker Ridge Rd, #202, New Rochelle, NY 10804-2808 | 2008-05-19 |
| 1073787438 | Ira J. Sutton Md | Clinic/Center | 77 Quaker Ridge Rd, Suite 101, New Rochelle, NY 10804-2808 | 2008-04-16 |
| 1023206000 | Barry W. Langsam, D.d.s.,pllc | Dentist | 77 Quaker Ridge Rd, 212, New Rochelle, NY 10804-2808 | 2007-10-04 |
| 1871783571 | Karen Haghenbeck | Registered Nurse | 77 Quaker Ridge Rd, North Ridge Medical Associates, New Rochelle, NY 10804-2808 | 2007-07-29 |
| 1881897478 | Paul Giotopoulos | Dentist | 77 Quaker Ridge Rd, Suite 206, New Rochelle, NY 10804-2808 | 2007-06-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023536331 | Samori Pennant | Social Worker | 2 Pell Place, New Rochelle, NY 10804 | 2017-09-07 |
| 1386065050 | Benjamin Jacob Rafalowicz | Occupational Therapist | 86 Wykagyl Ter, New Rochelle, NY 10804 | 2013-12-26 |
| 1215376694 | Kamyar Nabegh | Family Medicine | Gohealth Urgent Care, 77 Quaker Ridge Road, Suite #4, Scarsdale, NY 10804 | 2013-06-19 |
| 1548500358 | Susan J. Gelb | Occupational Therapist | 4 Hayhurst Road, New Rochelle, NY 10804 | 2013-02-15 |
| 1689930935 | Ps/ms3 | Local Education Agency (LEA) | 11 Owen Road, New Rochelle, NY 10804 | 2012-04-11 |
| 1003186768 | Elliot Resnick | Counselor | 111 Bon Air Ave., New Rochelle, NY 10804 | 2012-01-11 |
| 1528355542 | Barbara Jean Wilson James | Registered Nurse | 176 Wilmot Rd, New Rochelle, NY 10804 | 2011-06-29 |
| 1821387762 | Stephen Pasqua | Dentist | 21 Sicard Ave, New Rochelle, NY 10804 | 2011-03-31 |
| 1063722668 | Ayala Helft | Speech-Language Pathologist | 86 Aberfoyle Rd., New Rochelle, NY 10804 | 2010-10-15 |
| 1659697498 | Judith M. Makman | Speech-Language Pathologist | 15 Crestwood Ln, New Rochelle, NY 10804 | 2010-04-19 |
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| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801281431 | Philip Rubin | Dermatology | 4 Kewanee Rd, New Rochelle, NY 10804-1324 | 2015-03-31 |
| 1770986705 | Tobi Klar M.d. P.C. | Dermatology | 150 Lockwood Ave Ste 20, New Rochelle, NY 10801-4913 | 2014-10-05 |
| 1275828741 | Matthew James Stiller | Dermatology | 148 Daisy Farms Dr., New Rochelle, NY 10804-1034 | 2011-06-13 |
| 1629195425 | Alan Dattner | Dermatology | 17 Rodman Oval, New Rochelle, NY 10805-3012 | 2007-03-25 |
| 1417049297 | Barbara Lynne Lukash | Dermatology | 14 Lawton St, New Rochelle, NY 10801-6349 | 2006-09-29 |
| 1649228586 | Morningside Medical Practice, P.C. | Dermatology | 60 Hillside Ln, New Rochelle, NY 10804-4526 | 2006-05-04 |
| 1245290485 | George Morton Glassman | Dermatology | 268 Stuart Dr, New Rochelle, NY 10804-1423 | 2006-03-23 |
| 1932200854 | Joseph Anthony Dipietro | Dermatology | 421 Huguenot Street, Suite 32, New Rochelle, NY 10801-7021 | 2006-09-25 |
| 1386670768 | Karen Maxine Mackler | Dermatology | 150 Lockwood Ave, Suite 34, New Rochelle, NY 10801-4916 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225636384 | Markowitz Medical Pllc | Dermatology | 1150 5th Ave # Suire1a, New York, NY 10128-0724 | 2020-10-12 |
| 1114545985 | Tarek Yamany Md Pllc | Dermatology | 229 W 60th St Apt 8e, New York, NY 10023-7507 | 2020-07-08 |
| 1952924839 | Elizabeth Jessica Ranelli | Dermatology | 16 W 17th St, New York, NY 10011-5738 | 2020-05-26 |
| 1841811148 | Stuart Daniel Shanler | Dermatology | 53 Underhill Dr, Pomona, NY 10970-2668 | 2020-04-28 |
| 1740800309 | Ns Arora Dermatology Pllc | Dermatology | 99 Jericho Tpke Ste 110, Jericho, NY 11753-1015 | 2020-04-23 |
| 1174163406 | Halite Services Crop | Dermatology | 447 Rose Ln, Rockville Centre, NY 11570-1429 | 2020-01-15 |
| 1235776485 | Libby Rhee Do Dermatology Pllc | Dermatology | 110 E 60th St # 800, New York, NY 10022-1688 | 2019-12-06 |
| 1588214357 | Advanced Dermatology of New York PC | Dermatology | 1-3 West 125th Street, New York, NY 10027 | 2019-09-13 |
| 1568018588 | Mary Matina Valinotti | Dermatology | 332 E Main St Ste 1, Bay Shore, NY 11706-8436 | 2019-08-15 |
| 1831751379 | Jessica Weiser, M.d., Pllc | Dermatology | 155 Spring St Fl 5, New York, NY 10012-5208 | 2019-07-05 |
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| City | NEW ROCHELLE |
| Zip Code | 10804 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.