MS. SANDRA KELLY (NPI# 1699052415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699052415 |
| Entity Type | Individual |
| Full Name | MS. SANDRA KELLY |
| Credential | P.A. |
| Practice Address |
320 Franklin Ave Franklin Square NY 11010 |
| Mailing Address |
320 Franklin Ave Franklin Square NY 11010-1332 |
| Practice Telephone | 5163286252 |
| Practice Fax Number | 5169003452 |
| Mailing Telephone | 5163286252 |
| Mailing Fax Number | 5169003452 |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2018-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 007187-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 435 Main St, Farmingdale, NY 117353510 | 5168824882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417175225 | Sandra Rae Kelly | Dietitian, Registered | 10006 Maple Cir, Bloomington, MN 55431-2870 | 2007-04-24 |
| 1629591284 | Sandra L Kelly | Dental Hygienist | 1 Boone Rd, Bremerton, WA 98312-1894 | 2017-07-25 |
| 1396103016 | Sandra Kay Kelly | Nurse Practitioner | 300 North Ave, Battle Creek, MI 49017-3307 | 2016-02-09 |
| 1447699095 | Sandra C Kelly | Specialist | 40 W Mosholu Pkwy S, Bronx, NY 10468-1150 | 2013-06-17 |
| 1679843254 | Sandra Lynne-walker Kelly | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2012-01-12 |
| 1073753877 | Sandra L Kelly | Social Worker | 400 Amity St, Amherst, MA 01002-2241 | 2009-03-06 |
| 1275666406 | Sandra C Kelly | Social Worker | 775 Park Ave, Suite 1110, Huntington, NY 11743-3976 | 2007-03-14 |
| 1669410494 | Sandra Mackay Kelly | Nurse Practitioner | 41 Montvale Ave, Stoneham, MA 02180-2445 | 2006-06-03 |
| Street Address |
320 FRANKLIN AVE |
| City | FRANKLIN SQUARE |
| State | NY |
| Zip Code | 11010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558471359 | Rachel Kushner | Dermatology | 320 Franklin Ave, Franklin Square, NY 11010-1332 | 2006-08-30 |
| 1447687439 | Maggie Kathleen Buondelmonte | Physician Assistant | 320 Franklin Ave, Franklin Square, NY 11010-1332 | 2013-10-04 |
| 1730387861 | Dr Rachel R Kushner Dermatology PC | Dermatology | 320 Franklin Ave, Franklin Square, NY 11010-1332 | 2007-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609362789 | Thalia Vasquez | Behavior Technician | 1069 Hempstead Turnpike, #1, Franklin Square, NY 11010 | 2018-07-02 |
| 1790214336 | Marisa Nandini Basdeo | Speech-Language Pathologist | 771 Brower Avenue, Franklin Square, NY 11010 | 2017-06-07 |
| 1477911667 | Dominique Nicolich | Early Intervention Provider Agency | 210-26 Franklin Avenue, Franklin Square, NY 11010 | 2016-02-03 |
| 1275906414 | Michael Reddington | Specialist/Technologist | 717 Elm Street, Franklin Square, NY 11010 | 2015-11-10 |
| 1790185635 | Ashley Blonder | Pediatrics | 308 Dogwood Avenue, Franklin Square, NY 11010 | 2014-08-28 |
| 1013293323 | Elizabeth Mccaffrey | Registered Nurse | 35 Sherwood Ave, Franklin Square, NY 11010 | 2011-11-01 |
| 1427332857 | Bzpharmacy Inc | Pharmacy | 905 Hempstead Tpke, Franklinsquare, NY 11010 | 2011-10-04 |
| 1376872382 | Kristen Laura Nigro | Dentist | 1040 Hempstead Tpk, Suite 10, Franklin Square, NY 11010 | 2009-12-22 |
| 1053501478 | Susan Sisselman | Physical Therapist | 562 Dogwood Avenue, Franklin Square, NY 11010 | 2007-08-01 |
| 1205035300 | Nancy M Elbasty | Pediatrics | 380 Dogwood Avenue, Franklin Square, NY 11010 | 2007-07-17 |
| Find all providers in zip 11010 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568006674 | Batul Lukmanji | Physician Assistant | 940 Shelburne Dr, Franklin Square, NY 11010-1010 | 2019-10-31 |
| 1447687439 | Maggie Kathleen Buondelmonte | Physician Assistant | 320 Franklin Ave, Franklin Square, NY 11010-1332 | 2013-10-04 |
| 1831408855 | Irene Gomez | Physician Assistant | 1209 Hempstead Tpke, Primary Healthcare Plus, Franklin Square, NY 11010 | 2010-09-26 |
| 1730116153 | Lauren J Klein | Physician Assistant | 407 Franklin Ave, Franklin Square, NY 11010-1227 | 2006-06-28 |
| 1154365229 | Joann Holmes | Physician Assistant | 407 Franklin Ave, Franklin Square, NY 11010-1227 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821026 | Victoria Yunaev | Physician Assistant | 7203 166th St, Fresh Meadows, NY 11365-3237 | 2020-11-05 |
| 1811598857 | Brittany Christine Androsko | Physician Assistant | 1769 Union St Fl 2, Niskayuna, NY 12309-6311 | 2020-11-05 |
| 1164023172 | Betina Charlotte Apostol Nuguid | Physician Assistant | 1730 Central Park Ave Ste 3p, Yonkers, NY 10710-4905 | 2020-11-05 |
| 1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1205437621 | Jason Patrick Feak | Physician Assistant | 6338 Falls Blvd, Chittenango, NY 13037-8799 | 2020-11-03 |
| 1437750742 | Drew James Mitchell | Physician Assistant | 58 Old Bedford Rd, Goldens Bridge, NY 10526-1000 | 2020-11-03 |
| 1306446125 | Julie Mcphillips | Physician Assistant | 961 W Kaisertown Rd, Montgomery, NY 12549-2317 | 2020-10-30 |
| 1487254330 | Thomas J Nagel | Physician Assistant | 57 Montgomery Road, Fort Montgomery, NY 10922 | 2020-10-29 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | FRANKLIN SQUARE |
| Zip Code | 11010 |
Please comment or provide details below to improve the information on MS. SANDRA 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.