Patricia Kelly Medical, P.C.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

232224-1 Issued in NY

Legal business name

PATRICIA KELLY MEDICAL, P.C.

Practice address

2171 Jericho Tpke
Suite 100
Commack, NY 11725-2911

Phone

(631) 629-2330

NPI assigned

Mar 3, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Scott Siciliano

Title

Ceo

Phone

(877) 646-2228

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1013377068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 JERICHO TPKE",
            "address_2": "SUITE 100",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 JERICHO TPKE",
            "address_2": "SUITE 100",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252911",
            "telephone_number": "631-629-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA KELLY MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "SICILIANO",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "877-646-2228"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "232224-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dipti Ramesh Patel, DC
• Jignesh K Patel, M.D.
• Parth Patel, MD
• Vrajesh M Patel, D.O,
• Patricia Kelly Medical PC
• Karen Patterson
• Brianna Paulino
• Neha S Pawar, M.D.
• Angela Paz, LMHC
• PCL Hearing Services LLC

• Cardiovascular Disease Physician in Commack, NY
• Providers in Commack, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.