Organization Active NPI

Ketly Michel, MD, P.C.

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1245399013
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
167134 Issued in NY
Legal business name
KETLY MICHEL, MD, P.C.
Practice address
261 East 78TH Street
New York, NY 10075
Phone
(212) 249-4501
Fax
(212) 249-4517
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Authorized official

Name
Dr. Ketly Michel, M.D.
Title
President
Phone
(212) 249-4501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 167134 NY Primary

Addresses

Primary practice location

261 East 78TH Street
New York, NY 10075

Mailing address

261 East 78TH Street
New York, NY 10075
Phone (212) 249-4501

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1245399013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 EAST 78TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10075",
            "telephone_number": "212-249-4501",
            "fax_number": "212-249-4517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 EAST 78TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10075",
            "telephone_number": "212-249-4501",
            "fax_number": "212-249-4517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETLY MICHEL, MD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "MICHEL",
        "authorized_official_first_name": "KETLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-249-4501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "167134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.