Lesa a. Kelly MD PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

LESA A. KELLY MD PLLC

Practice address

77 Quaker Ridge Rd
Suite 200a
New Rochelle, NY 10804-2808

Phone

(914) 637-2663

NPI assigned

Sep 11, 2008

Organization subpart

No

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

Authorized official

Name

Lesa A Kelly, MD

Title

Sole Proprietor

Phone

(914) 637-2663

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1124277348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 QUAKER RIDGE RD",
            "address_2": "SUITE 200A",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108042808",
            "telephone_number": "914-637-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 QUAKER RIDGE RD",
            "address_2": "SUITE 200A",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108042808",
            "telephone_number": "914-637-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESA A. KELLY MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "LESA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "914-637-2663",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A100000388",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John M Leo, MD
• Leon Protass MD PC
• Nicole C. Leone
• Marissa Leonidas
• Ben Lerman, MD
• Danijela Lesevic, LPN
• Letterese Occupational Therapy PC
• Thomas Letterese, OTR/L
• Michelle A Levasseur
• Deanne D Levi

• Dermatology Physician in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.