JENNIFER EILEEN KELLY


Address: 2354 Ocean Ave, Ronkonkoma, NY 11779-6578
Phone: 5166989476

JENNIFER EILEEN KELLY (NPI# 1396386744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396386744
Entity Type Individual
Full Name JENNIFER EILEEN KELLY
Practice Address 2354 Ocean Ave
Ronkonkoma
NY 11779-6578
Practice Telephone 5166989476
Mailing Telephone 5166989476
Enumeration Date 2019-10-07
Last Update Date 2020-10-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 834869 NY Other Service Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers JENNIFER KELLY

NPI Name Taxonomy Address Enumeration
1881216463 Jennifer Kelly Nurse Practitioner 7595 Affirmed Ct, Lewis Center, OH 43035-9143 2020-05-17
1790322758 Jennifer Lee Kelly Home Health Aide 4519 Stanbrook Dr, North Chesterfield, VA 23234-4021 2019-12-09
1659936813 Jennifer Noel Kelly Behavior Technician 3287 N Mayfield Ave, San Bernardino, CA 92405-2627 2019-05-03
1851784284 Jennifer Kelly Occupational Therapy Assistant 1215 Gainsboro Rd, Bala Cynwyd, PA 19004-2014 2015-03-10
1952706699 Jennifer Kelly Pharmacist 1701 Welsh Rd Ste 5, Philadelphia, PA 19115-3172 2014-10-23
1750791257 Jennifer Kelly Psychologist 11 Brooklands Apt Gi, Bronxville, NY 10708-3512 2014-05-06
1851722995 Jennifer L. Kelly Speech-Language Pathologist 555 Anthony Wayne Trail, Waterville, OH 43566 2013-11-27
1144598343 Jennifer Elaine Kelly Physician Assistant 381 Park Avenue South, Suite 1020, New York, NY 10016 2011-12-02
1063789030 Jennifer Zucal Kelly Registered Nurse 215 E 5th St, Emporium, PA 15834-1417 2011-11-18
1467738765 Jennifer Marie Kelly Occupational Therapist 1656 State Highway 162, Sprakers, NY 12166-4600 2011-10-31

Office Location

Street Address 2354 OCEAN AVE
City RONKONKOMA
State NY
Zip Code 11779-6578

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750929139 Sebastian Godinez Student in an Organized Health Care Education/Training Program 11 First Street, Ronkonkoma, NY 11779 2019-12-16
1487149860 John Deming Student in an Organized Health Care Education/Training Program 142 - 02 20th Avenue, Flushing, NY 11779 2018-06-27
1376060392 Janine D'annunzio Specialist 316 Thirft Street, Ronkonkoma, NY 11779 2017-08-30
1932621935 Vincent Joseph Lopreto Counselor 253 Lake Shore Road, Ronkonkoma, NY 11779 2017-07-11
1598295271 Dalas Taddeo Licensed Practical Nurse 4490 Express Drive S, Ronkonkoma, NY 11779 2017-06-15
1790214112 Pamela Ferrante Social Worker 131 Avenue D, Ronkonkoma, NY 11779 2017-06-08
1255868915 Bari Home Care LLC Health Maintenance Organization 4417 Express Drive North, Ronkonkoma, NY 11779 2017-05-12
1013441328 Caring Hands Home Care Nursing Facility/Intermediate Care Facility 65 Cheryl Drive, Ronkonkoma, NY 11779 2017-04-13
1831552025 Jacqueline Galdamez Social Worker 979 Johnson Avenue, Ronkonkoma, NY 11779 2016-04-04
1891192530 Alex Mitchell Pollack Massage Therapist 34 Richmond Blvd, #3a, Ronkonkoma, NY 11779 2014-11-24
Find all providers in zip 11779

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982236600 Briana M Mullady Specialist 165 Cherokee St, Ronkonkoma, NY 11779-4604 2020-02-11
1306487533 Emily C Dinger Specialist 369 Peconic St, Ronkonkoma, NY 11779-6914 2019-09-29
1528535275 Daniann Stapleton Specialist 48 Calvert Ave, Ronkonkoma, NY 11779-5900 2018-10-31
1376060392 Janine D'annunzio Specialist 316 Thirft Street, Ronkonkoma, NY 11779 2017-08-30
1841654175 Rosann Wolf Specialist 411 Ontario St, Ronkonkoma, NY 11779-5109 2016-04-13
1083083356 Jennifer Elliott Specialist 463 Ontario St, Ronkonkoma, NY 11779-5109 2015-09-17
1558737221 Allison Tursi Specialist 374 Ontario St, Ronkonkoma, NY 11779-4949 2015-08-18
1225418569 Catherine Monaco Specialist 2888 Pond Rd, Ronkonkoma, NY 11779-3349 2015-06-02
1396150934 Vanessa Joan Rivoire Specialist 2 Old Rosevale Ave, Ronkonkoma, NY 11779-5025 2014-06-23
1821429549 Julie Imwalle Specialist 15 Ricky Rd, Ronkonkoma, NY 11779-5017 2013-12-05
Find all providers in RONKONKOMA

Competitor

Search similar providers

City RONKONKOMA
Zip Code 11779

Improve Information

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Dataset Information

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.

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