Kevin Dolley, N.P.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

F333868 Issued in NY

Practice address

9 Brooksite Dr
Suite 1
Smithtown, NY 11787-3400

Phone

(631) 724-1331

Fax

(631) 360-5646

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Shore-Lij Medical PC

  dba NHPP Cardiology at Great Neck

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  Medicare reassignment NPD
• Alfred Belding MD & John Franco MD & F Gleason MD & J Dragone MD

  • Family Medicine Physician
  • Smithtown, NY
  • NPI 1336184555

  Legal Medicine

  NPD (past)
• St. Catherine of Siena Medical Center

  • General Acute Care Hospital
  • Smithtown, NY
  • NPI 1154764819
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134133671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BROOKSITE DR",
            "address_2": "SUITE 1",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873400",
            "telephone_number": "631-724-1331",
            "fax_number": "631-360-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BROOKSITE DR",
            "address_2": "SUITE 1",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873400",
            "telephone_number": "631-724-1331",
            "fax_number": "631-360-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLLEY",
        "first_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "F333868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey Dittmar
• Chloeann Doell
• Lynda Elyzabeth Doherty, MSED
• Jennifer I. Dolan, PT
• Judy A Dolce, LPN
• Jennifer Dominguez Umana
• Jessica Catherine Dominguez, LCSW
• Jesse Donaldson-Hawkins
• Debra J Donaldson, L.C.S.W.
• Daniel Donato, P.T.

• Legal Medicine in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Legal Medicine in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.