Mary Kelly

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F-338914-1 Issued in NY

Practice address

14435 15TH Ave
Whitestone, NY 11357-2407

Phone

(718) 746-7682

NPI assigned

Sep 10, 2014

Last updated

May 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: mkelly5789@direct.hss.edu

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1174924054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 EAST 70TH ST",
            "address_2": "DEPT. OF ANESTHESIA",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-774-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14435 15TH AVE",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113572407",
            "telephone_number": "718-746-7682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MARY",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-10",
        "last_updated": "2021-05-19",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F-338914-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkelly5789@direct.Hss.edu",
            "affiliation": "N",
            "endpointDescription": "direct messaging address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "Hospital for Special Surgery",
            "address_2": "525 E70th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
            "affiliation": "N",
            "endpointDescription": "legacy FHIR URL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "Hospital for Special Surgery",
            "address_2": "525 E70th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/",
            "affiliation": "N",
            "endpointDescription": "current FHIR URL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "Hospital for Special Surgery",
            "address_2": "525 E70th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Evangelia Katsigeorgis, RD, CDN
• Kiranjit Kaur
• Navneet Kaur
• Sophia Kavallaris
• Kefalos Pharmacy Inc (Village Pharmacy)
• Olivia Robertsen Kelly, SLP
• Christopher Thomas Kempski, LMHC, LRC, CRC, CPT
• Arkadiy Khaitov, D.D.S.
• Kiran Khalid
• Hanin Khalil

• Family Nurse Practitioner in Whitestone, NY
• Providers in Whitestone, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.