KELLY MADELINE LYNCH (NPI# 1619457967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619457967 |
| Entity Type | Individual |
| Full Name | KELLY MADELINE LYNCH |
| Practice Address |
2800 Marcus Ave New Hyde Park NY 11042-1113 |
| Mailing Address |
61 Floral Ave Bethpage NY 11714-1220 |
| Practice Telephone | 5166226000 |
| Mailing Telephone | 5169382501 |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841508702 | Kelly S Lynch | Physical Therapist | 4457 Bethany Rd # J, Mason, OH 45040-8128 | 2010-09-14 |
| 1821057258 | Kelly Robert Lynch | Physical Therapist | 600 E Main St, Suite 200, Watertown, WI 53094-3827 | 2006-03-23 |
| 1568078368 | Kelly Lynch | Technician/Technologist | 28000 Woodward Ave, Royal Oak, MI 48067-0960 | 2020-09-17 |
| 1003391566 | Kelly Lucille Lynch | Counselor | 414 Front St N, Issaquah, WA 98027-2914 | 2018-10-01 |
| 1255811170 | Kelly M Lynch | Nurse Practitioner | 500 University Dr, Hershey, PA 17033-2360 | 2018-08-20 |
| 1982195715 | Kelly Lynch | Case Manager/Care Coordinator | 695 South St Ste 6, Chardon, OH 44024-1474 | 2018-05-29 |
| 1851893556 | Kelly Moran Lynch | Case Manager/Care Coordinator | 525 Nw Lake Whitney Pl Ste 102, Port Saint Lucie, FL 34986-1605 | 2018-03-08 |
| 1811359946 | Kelly Lynch | Occupational Therapist | 2002 E Robinson St, Norman, OK 73071-7420 | 2016-03-28 |
| 1295110310 | Kelly Grommersch Lynch | Nurse Practitioner | 3400c Old Milton Pkwy Ste 290, Alpharetta, GA 30005-4438 | 2015-07-30 |
| 1356685440 | Kelly Marie Lynch | Occupational Therapist | 600 N Bradley Rd, Lake Forest, IL 60045-1020 | 2012-11-15 |
| Street Address |
2800 MARCUS AVE |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11042-1113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740285964 | Ashish Goel | Specialist | 2800 Marcus Ave, New Hyde Park, NY 11042-1113 | 2005-06-15 |
| 1336685155 | Simi Sahibdin | Physician Assistant | 2800 Marcus Ave, New Hyde Park, NY 11042-1113 | 2017-01-18 |
| 1891151049 | Kimberly Birardi | Physician Assistant | 2800 Marcus Ave, New Hyde Park, NY 11042-1113 | 2016-01-04 |
| 1356716740 | Jennifer Deede | Physician Assistant | 2800 Marcus Ave, New Hyde Park, NY 11042-1113 | 2015-12-10 |
| 1194190587 | Rashawn Chin | Physician Assistant | 2800 Marcus Ave, Suite 201, New Hyde Park, NY 11042 | 2015-12-10 |
| 1639544158 | Pamela Pugliesi | Physician Assistant | 2800 Marcus Ave, Suite 201, New Hyde Park, NY 11042-1113 | 2015-12-09 |
| 1134596810 | Dayna Glatzer | Physician Assistant | 2800 Marcus Ave, New Hyde Park, NY 11042-1113 | 2015-08-28 |
| 1376935767 | Ear Works Audiology | Audiologist | 2800 Marcus Ave, Ste. 207, New Hyde Park, NY 11042-1113 | 2015-02-23 |
| 1003219239 | Lisa Vitucci | Social Worker | 2800 Marcus Ave, Suite 205, New Hyde Park, NY 11042-1113 | 2014-10-02 |
| 1376977256 | Marc A Singer Md | Clinic/Center | 2800 Marcus Ave, Suite 203, New Hyde Park, NY 11042-1113 | 2013-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
| 1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
| 1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
| 1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
| 1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
| 1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
| 1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
| 1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
| 1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
| Find all providers in zip 11042 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396023511 | Merin M Thomas | Physician Assistant | 5 Nortema Ct, New Hyde Park, NY 11040-2031 | 2011-07-22 |
| 1750672556 | Sundeep Kaur Singh | Physician Assistant | 3 Sperry Ct, New Hyde Park, NY 11040-3819 | 2011-04-27 |
| 1013002104 | Matthew L. Shebes | Physician Assistant | Long Island Jewish Medical Center-department of Surgery, 270-05, 76 Ave, New Hyde Park, NY 11042 | 2006-10-04 |
| 1912518184 | Jonathan Phua | Physician Assistant | 3003 New Hyde Park Rd, New Hyde Park, NY 11042-1206 | 2020-08-12 |
| 1538717103 | Etinosa Otagho | Physician Assistant | 27005 76th Ave, New Hyde Park, NY 11040-1496 | 2019-08-27 |
| 1275039141 | Joan Claire Zimmeck | Physician Assistant | 3003 New Hyde Park Rd Ste 309, New Hyde Park, NY 11042-1214 | 2018-04-01 |
| 1487167094 | Ruth Sarai Walter | Physician Assistant | 270-05 76th Ave, New Hyde Park, NY 11040-1402 | 2017-11-06 |
| 1740646405 | Bindu Abbey Daniel | Physician Assistant | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2016-01-11 |
| 1134596810 | Dayna Glatzer | Physician Assistant | 2800 Marcus Ave, New Hyde Park, NY 11042-1113 | 2015-08-28 |
| 1407232390 | Katherine Elizabeth Beam | Physician Assistant | 1991 Marcus Ave Ste 102, New Hyde Park, NY 11042-2062 | 2015-08-03 |
| Find all providers in NEW HYDE PARK | ||||
| City | NEW HYDE PARK |
| Zip Code | 11042 |
Please comment or provide details below to improve the information on KELLY MADELINE LYNCH.
| 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.