MRS. MARY A KELLY


Address: 2000 N Village Ave, Suite 108, Rockville Centre, NY 11570-1078
Phone: 5166781444

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).

Provider Overview

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

Taxonomy

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

Other Providers MARY KELLY

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

Office Location

Street Address 2000 N VILLAGE AVE
SUITE 108
City ROCKVILLE CENTRE
State NY
Zip Code 11570-1078

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City ROCKVILLE CENTRE
Zip Code 11570

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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