MRS. MARY A KELLY (NPI# 1417294018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417294018 |
Entity Type | Individual |
Full Name | MRS. MARY A KELLY |
Credential | NP-C |
Practice Address |
2000 N Village Ave Suite 108 Rockville Centre NY 11570-1078 |
Practice Telephone | 5166781444 |
Practice Fax Number | 5166781023 |
Mailing Telephone | 5166781444 |
Mailing Fax Number | 5166781023 |
Enumeration Date | 2013-01-16 |
Last Update Date | 2013-01-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
306256 | NY | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558844811 | Mary Elizabeth Kelly | Social Worker | 97 Libbey Industrial Pkwy Ste 301, Weymouth, MA 02189-3110 | 2018-09-12 |
1215410790 | Mary Jane Kelly | Dietitian, Registered | 1046 E Elgenia Ave, West Covina, CA 91790-1318 | 2018-09-11 |
1073020590 | Mary Teresa Kelly | Counselor | 726 Cherryvale Rd, Boulder, CO 80303-2911 | 2018-01-05 |
1972040459 | Mary A Kelly | Registered Nurse | 116 N Lake Ave, Albany, NY 12206-2710 | 2017-01-23 |
1073904215 | Mary Kelly | Registered Nurse | 3145 State Route 718, Troy, OH 45373-8908 | 2015-02-10 |
1174924054 | Mary Kelly | Nurse Practitioner | 14435 15th Ave, Whitestone, NY 11357-2407 | 2014-09-10 |
1306058714 | Mary Catherine Kelly | Nurse Practitioner | 275 Riverside Ave, Riverside, CT 06878-2313 | 2007-05-06 |
1134340086 | Mary Kris Kelly | Nurse Practitioner | 1 Gustave L Levy Pl # 1030, New York, NY 10029-6500 | 2007-05-01 |
1518187772 | Mary Ann Kelly | Dietary Manager | 6448 Hallee Rd Ste 9, Joshua Tree, CA 92252-1908 | 2007-04-27 |
1003036583 | Mary Anne Kelly | Marriage & Family Therapist | 105 Sunnyside Ave, Piedmont, CA 94611-4419 | 2007-04-26 |
Street Address |
2000 N VILLAGE AVE SUITE 108 |
City | ROCKVILLE CENTRE |
State | NY |
Zip Code | 11570-1078 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194728592 | Florencio Abasolo Gomez | Internal Medicine | 2000 N Village Ave, Ste 205, Rockville Centre, NY 11570-1001 | 2005-05-31 |
1831697101 | Stephanie Dym | Pharmacist | 2000 N Village Ave, Rockville Centre, NY 11570-1078 | 2018-01-31 |
1538607759 | Frankie Batiste | Physician Assistant | 2000 N Village Ave, Ste 402, Rockville Centre, NY 11570-1078 | 2017-02-08 |
1497113989 | Winthrop Community Medical Affiliates, P.C. | Orthopaedic Surgery | 2000 N Village Ave, Suite 306, Rockville Centre, NY 11570-1078 | 2016-01-29 |
1376946640 | Fontak Inc | Pharmacy | 2000 N Village Ave, Suite 107, Rockville Centre, NY 11570-1078 | 2014-10-01 |
1649515925 | Chs Physician Partners, PC | Internal Medicine | 2000 N Village Ave, Suite 102, Rockville Centre, NY 11570-1078 | 2012-11-28 |
1669738746 | Island Physician Services, Pllc | Clinic/Center | 2000 N Village Ave, Suite 109, Rockville Centre, NY 11570-1078 | 2012-04-03 |
1891086013 | Michael S. Block, M.d. P.C. | Obstetrics & Gynecology | 2000 N Village Ave, Suite 411, Rockville Centre, NY 11570-1078 | 2011-04-21 |
1255630893 | Colon and Rectal Surgery P.C. | Colon & Rectal Surgery | 2000 N Village Ave, Suit 205, Rockville Centre, NY 11570-1078 | 2011-03-22 |
1629397526 | Surajit Saha | Ophthalmology | 2000 N Village Ave, Suite 402, Rockville Centre, NY 11570-1078 | 2010-05-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811462419 | Jessica Ilana Smuckler | Occupational Therapist | 90 S Park Ave Apt C2, Rockville Centre, NY 11570 | 2018-10-10 |
1356831309 | Pure Medical Services PC | Specialist | 2000 N Village Ave Ste 202, Rockville Centre, NY 11570 | 2018-05-15 |
1447766449 | Licura, LLC | Technician, Other | 566 Merrick Road, Suite 1, Rockville Centre, NY 11570 | 2017-12-28 |
1427505858 | Shera M Goodridge | Specialist | 134 Shellbank Place, Rockville Center, NY 11570 | 2016-09-01 |
1669830634 | Barbara Massina, Lcsw | Clinic/Center | 161 N Village Ave, Rockville Centre, NY 11570 | 2016-02-05 |
1972973428 | Medscript Pharmacy LLC | Pharmacy | 180-184 Sunrise Highway, Rockville Centre, NY 11570 | 2015-09-28 |
1265813703 | Jeffrey Michael Nozius | Registered Nurse | 1000 Hempstead Ave, Rockville Centre, NY 11570 | 2015-06-10 |
1568855971 | Meredith Kreinbihl | Counselor | 119 North Park Avenue, Suite 210, Rockville Centre, NY 11570 | 2015-03-09 |
1174921647 | Pamela Leake | Behavioral Analyst | 88 Hendrickson Ave, Rvc, NY 11570 | 2014-12-15 |
1467851584 | Lisa Brown-eisel, Lcsw, P.C. | Social Worker | 100 North Village Avenue, Suite 32, Rockville Centre, NY 11570 | 2014-08-14 |
Find all providers in zip 11570 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578086211 | Soloman Yagudayev | Nurse Practitioner | 77 N Centre Ave Ste 208, Rockville Centre, NY 11570-3923 | 2017-07-25 |
1538537683 | Renee Marcia Forgenie | Nurse Practitioner | 100 Banks Ave Apt 1227, Rockville Centre, NY 11570-6207 | 2015-09-07 |
1467890426 | Modeline Pierre | Nurse Practitioner | 499 Clinton Ave, Rockville Centre, NY 11570-3305 | 2013-06-11 |
1083763130 | Cindy A Cino | Nurse Practitioner | 59 Strathmore Ln, Rockville Centre, NY 11570-1850 | 2007-01-09 |
1033212485 | Candra Lynn Snyder | Nurse Practitioner | 77 North Centre Avenue, Suite 202, Rockville Centre, NY 11570 | 2006-09-07 |
1649748328 | Merin Thomas | Nurse Practitioner | 1000 N Village Ave, Rockville Centre, NY 11570-1000 | 2018-11-11 |
1427428952 | Peter Duperval | Nurse Practitioner | 165 N Village Ave Ste 114a, Rockville Centre, NY 11570-3701 | 2015-09-27 |
1205105723 | Gloria Ann Coffey | Nurse Practitioner | 1000 N Village Ave, Rockville Centre, NY 11570-1000 | 2011-12-29 |
1306077441 | Gabrielle Klein | Nurse Practitioner | 242 Merrick Rd Ste 402, Rockville Centre, NY 11570-5254 | 2009-08-06 |
1104096106 | Kathleen Kronbichler | Nurse Practitioner | 1000 N Village Ave, Rockville Centre, NY 11570-1000 | 2008-03-05 |
Find all providers in ROCKVILLE CENTRE |
City | ROCKVILLE CENTRE |
Zip Code | 11570 |
Please comment or provide details below to improve the information on MRS. MARY A KELLY.
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.