JONATHAN KELVAS (NPI# 1942674759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942674759 |
| Entity Type | Individual |
| Full Name | JONATHAN KELVAS |
| Credential | PA-C |
| Practice Address |
4295 Hempstead Tpke Bethpage NY 11714-5713 |
| Practice Telephone | 5165796000 |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2015-11-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
019220 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
019220 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4295 HEMPSTEAD TPKE |
| City | BETHPAGE |
| State | NY |
| Zip Code | 11714-5713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972509990 | Brian James Cook | Anesthesiology | 4295 Hempstead Tpke, Bethpage, NY 11714-5713 | 2005-06-23 |
| 1558994574 | Mallory Nakamura | Physician Assistant | 4295 Hempstead Tpke, Bethpage, NY 11714-5713 | 2020-02-18 |
| 1063997799 | Zeba Memon | Physician Assistant | 4295 Hempstead Tpke, Bethpage, NY 11714-5713 | 2018-09-27 |
| 1871085225 | Meghan Christine Rowland | Physician Assistant | 4295 Hempstead Tpke, Bethpage, NY 11714-5713 | 2018-06-01 |
| 1235627183 | Wsnchs North, Inc | Pharmacy | 4295 Hempstead Tpke, Bethpage, NY 11714-5713 | 2018-04-26 |
| 1649795287 | Eoin O'neill | Registered Nurse | 4295 Hempstead Tpke, Bethpage, NY 11714-5713 | 2017-08-04 |
| 1447791306 | Elizabeth Yeno I | Registered Nurse | 4295 Hempstead Tpke, Bethpage, NY 11714-5713 | 2017-03-13 |
| 1538601752 | Michael Gilde | Physician Assistant | 4295 Hempstead Tpke, Bethpage, NY 11714-5713 | 2016-11-07 |
| 1861940975 | Yun Qian | Nurse Practitioner | 4295 Hempstead Tpke, Bethpage, NY 11714-5713 | 2016-09-17 |
| 1003262213 | James Bantel | Physician Assistant | 4295 Hempstead Tpke, Bethpage, NY 11714-5713 | 2016-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023466208 | Angelika Cataldo | Physician Assistant | 96 Farmers Ave, Bethpage, NY 11714 | 2016-05-30 |
| 1215390240 | Jessica Cohen Micciulli | Counselor | 1211 Stewart Ave., Suite 100, Bethpage, NY 11714 | 2016-03-29 |
| 1295119329 | Van Tu | Physician Assistant | 72 Roosevelt Dr, Bethpage, NY 11714 | 2015-07-18 |
| 1124400072 | Nicole Simon | Speech-Language Pathologist | 28 Lee Avenue, Bethpage, NY 11714 | 2015-06-26 |
| 1083001556 | Gagandeep Sharma | Podiatrist | 255 Stewart Ave, Bethpage, NY 11714 | 2015-04-22 |
| 1245631399 | All About Kids | Local Education Agency (LEA) | 152 Sycamore Avenue, Bethpage, NY 11714 | 2014-09-09 |
| 1568871440 | Christina Healy | Home Health Aide | 49 West Millpage Drive, Bethpage, NY 11714 | 2014-08-05 |
| 1225444656 | Ryan Vincent Costello | Registered Nurse | 68 S. 2nd St., Apt A, Bethpage, NY 11714 | 2014-07-07 |
| 1598195125 | Lori-ann Perez | Case Manager/Care Coordinator | 18 Ellen Street, Bethpage, NY 11714 | 2013-11-18 |
| 1306195482 | Lisa Kozlowsky | Behavioral Analyst | 420 Kensington Lane, Bethpage, NY 11714 | 2012-09-05 |
| Find all providers in zip 11714 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386672194 | Daniel A Zaldivar | Physician Assistant | 4295 Hempstead Tpke, Care of Medical Staff Office, Bethpage, NY 11714-5713 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434727 | Julia Loren Bartsch | Physician Assistant | 11791 Genesee St, Alden, NY 14004-9713 | 2020-10-16 |
| 1295347078 | Alana Janine Miller | Physician Assistant | 1060 5th Ave # 1b, New York, NY 10128-0104 | 2020-08-21 |
| 1336768647 | Abul Sarker | Physician Assistant | 2 Sagamore Ave, Suffern, NY 10901-7412 | 2020-04-16 |
| 1689200412 | Margaret Ann Sullivan | Physician Assistant | 7011 108th St Apt 4l, Forest Hills, NY 11375-4407 | 2020-03-12 |
| 1376177527 | Anabell Marina Lopez Plaza | Physician Assistant | 12 Berrywood Ct, Bay Shore, NY 11706-2058 | 2020-02-26 |
| 1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
| 1831736602 | Ll Physician Assistant PC | Physician Assistant | 2279 Coney Island Ave Fl 2, Brooklyn, NY 11223-3337 | 2019-11-29 |
| 1992348775 | Nafiur Rahman Chowdhury | Physician Assistant | 8268 164th St Rm A3-65, Jamaica, NY 11432-1121 | 2019-10-23 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1578114377 | Matthew Newmark Eisenstein | Physician Assistant | 3260 43rd St Apt 2r, Astoria, NY 11103-2745 | 2019-09-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JONATHAN KELVAS.
| 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.