Patrick John Kelley, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X008472-1 Issued in NY

Practice address

297 Broadway
Bethpage, NY 11714-3706

Phone

(516) 937-1115

Fax

(516) 937-1117

NPI assigned

Jan 19, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215080619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 PINENECK RD",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117831223",
            "telephone_number": "516-390-3991",
            "fax_number": "516-937-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 BROADWAY",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143706",
            "telephone_number": "516-937-1115",
            "fax_number": "516-937-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "PATRICK",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008472-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harjyot Kaur
• Mandeep Kaur, DNP FNP-BC
• Navneet Kaur, M.D.
• KC LCSW, P.C.
• Lauren N Keller, MS, PA-C
• Richard Kessler, D.O.
• Brendan J. Keys, NP
• Abdus S Khan, MD
• Faiza Khan, MD
• Muhammad Imran Khan

• Chiropractor in Bethpage, NY
• Providers in Bethpage, NY by specialty
• Chiropractor 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.