Individual provider Active NPI

Laura J Sheridan-Kelchner, D.O.

  • Obstetrics & Gynecology Physician
  • West Islip, NY
National Provider Identifier
1265796536
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
283198 Issued in NY
Practice address
556 Montauk Hwy
West Islip, NY 11795-4407
Phone
(631) 321-4811
NPI assigned
Jul 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 283198 NY Primary

Addresses

Primary practice location

556 Montauk Hwy
West Islip, NY 11795-4407

Mailing address

556 Montauk Hwy
West Islip, NY 11795-4407
Phone (631) 321-4811

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160921001468 NY Practitioner - Obstetrics/Gynecology 8921395872 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians

Practice addresses (Care Compare)

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 376-3000

1000 N Village Ave
Rockville Center, NY 11570-1000

556 Montauk Hwy
West Islip, NY 11795-4407
Phone (631) 376-3251

Hospital & facility affiliations

  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
283198NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, P.C CurrentSince Sep 1, 2022 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Good Samaritan Hospital Medical CurrentSince Nov 30, 2016 Accepting new patients
CHS Physician Partners, PC CurrentSince Sep 1, 2022 Accepting new patients
Samaritan Medical Services, P.C. CurrentSince Aug 15, 2016 Accepting new patients
Sun River Health Inc. CurrentSince May 1, 2020 Accepting new patients
Good Samaritan Hospital Medical Center Current Accepting new patients
Sun River Health Inc Current Accepting new patients
Optum Urgent Care, PLLC Past Accepting new patients
Good Samaritan Hospital Medical Center Past Accepting new patients

Locations

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

1080 Sunrise Hwy
Amityville, NY 11701
Phone (631) 716-9026

6 Henry St
Beacon, NY 12508
Phone (845) 831-0400

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

556 Montauk Hwy
West Islip, NY 11795
Phone (631) 321-4811

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

1556 Straight Path
Wyandanch, NY 11798
Phone (516) 214-8020

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: laura.sheridankelchner@hrh.eclinicaldirectplus.com
  • Direct secure messaging: lsheridan38318@direct-chsli.net

Organizations & group practices 10

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1341100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1265796536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 MONTAUK HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954407",
            "telephone_number": "631-321-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 MONTAUK HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954407",
            "telephone_number": "631-321-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN-KELCHNER",
        "first_name": "LAURA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-01",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "283198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

Verify at the official NPI Registry.