Justin D Kelsey

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

46 Prince St Ste 3001
Rochester, NY 14607-1023

Phone

(585) 602-0702

NPI assigned

Jun 14, 2021

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)

Not enrolled

Practice roles

Locations

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.

• Internal Medicine Group

  • Obesity and Weight Management Nutrition Registered Dietitian
  • Rochester, NY
  • NPI 1184255176

  Health Educator

  NPD
• Internal Medicine Group

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1649220393
  NPD (past)

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1306414784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 PRINCE ST BOX 3001",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-602-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 PRINCE ST STE 3001",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071023",
            "telephone_number": "585-602-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSEY",
        "first_name": "JUSTIN",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffaney Kelly, LPN
• Tonya Kelly, RN
• William A Kelly, LCSW-R
• Christa Marie Kelsey, RN
• Jaime Rachelle Kelsey
• Patricia L. Kelsey, LCSW, CASAC
• Melanie Keltz
• Susan Lynn Kelvie, M.S. CCC-SLP
• Nejmudin Reshad Kemal, MD
• Berline Kemedjio, NP

• Health Educator in Rochester, NY
• Providers in Rochester, NY by specialty
• Health Educator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.