Kelley Ellissa Delaney, N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

305369 Issued in NY

Practice address

64 Bleecker St # 151
New York, NY 10012-2410

Phone

(302) 313-1584

NPI assigned

Aug 11, 2009

Last updated

Oct 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Networks

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

Interoperability endpoints

• Direct secure messaging: kelley.delaney@450368864321540.direct.elationemr.com

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

• Martin Slavin Physicians P.C.

  • Contractor
  • Brooklyn, NY
  • NPI 1851497390
  NPD (past)
• Back to Health of Branford, LLC

  • Internal Medicine Physician
  • Branford, CT
  • NPI 1215958772
  NPD (past)

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1366674236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 FOSTER RD",
            "city": "PEMAQUID",
            "state": "ME",
            "postal_code": "045584009",
            "telephone_number": "203-214-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 BLEECKER ST # 151",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122410",
            "telephone_number": "302-313-1584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 E 45th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100173301",
            "country_code": "US",
            "telephone_number": "212-661-8934",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Broadway Ste 1800",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10006",
            "country_code": "US",
            "telephone_number": "404-445-0350",
            "fax_number": "877-480-9635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Metrotech Ctr",
            "address_2": "ROG-B020",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112013840",
            "country_code": "US",
            "telephone_number": "646-997-3201",
            "fax_number": "646-997-3246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELANEY",
        "first_name": "KELLEY",
        "middle_name": "ELLISSA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2022-10-19",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "004126",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "305369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan T. Deland, M.D.
• Amanda Susan Delaney, LMSW
• Brooke Delaney, NP
• Holly Delaney, MB BCH BAO
• Jody A Delaney, MSN, FNP-C
• Michael P Delaney, DDS
• Richard Lawrence Delaney, M.D.
• Robert Delaney
• Shannon Julia Delaney
• Shannon Lynne Delaney, MD

• Adult Health Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.