NPIMap

Organization Active NPI

John J Kelly Vision Consulting, LLC

  • Early Intervention Provider Agency
  • Chester, NY
National Provider Identifier
1174886147
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
3166421 Issued in NY
Legal business name
JOHN J KELLY VISION CONSULTING, LLC
Practice address
4410 Whispering HLS
Chester, NY 10918-1584
Phone
(845) 478-5512
Fax
(845) 913-1995
NPI assigned
Jun 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Authorized official

Name
Mr. John Joseph Kelly, MS.ED, CASNPI 1609112432
Title
Owner/Director
Phone
(845) 478-5512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 3166421 NY Primary

Addresses

Primary practice location

4410 Whispering HLS
Chester, NY 10918-1584

Mailing address

4410 Whispering HLS
Chester, NY 10918-1584
Phone (845) 478-5512

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1174886147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 WHISPERING HLS",
            "city": "CHESTER",
            "state": "NY",
            "postal_code": "109181584",
            "telephone_number": "845-478-5512",
            "fax_number": "845-913-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 WHISPERING HLS",
            "city": "CHESTER",
            "state": "NY",
            "postal_code": "109181584",
            "telephone_number": "845-478-5512",
            "fax_number": "845-913-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J KELLY VISION CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-24",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "845-478-5512",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS.ED, CAS"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "3166421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.