Peter Kelt MD PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PETER KELT MD PC

Practice address

44 South Ferry Road
Shelter Island, NY 11964-0880

Phone

(631) 749-3149

Fax

(631) 749-4257

NPI assigned

Oct 4, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Peter Anthony Kelt, M.D.

Title

President

Phone

(631) 749-3149

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cristina Selby, NP

  • Adult Health Nurse Practitioner
  • Manhasset, NY
  • NPI 1255617957
  NPD (past)

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1427332873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HICKSVILLE RD",
            "address_2": "SUITE 200B",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143471",
            "telephone_number": "516-576-5651",
            "fax_number": "516-576-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 SOUTH FERRY ROAD",
            "city": "SHELTER ISLAND",
            "state": "NY",
            "postal_code": "119640880",
            "telephone_number": "631-749-3149",
            "fax_number": "631-749-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER KELT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "KELT",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-749-3149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Anne Larsen Mathews, MS. CCC- SLP
• Kathleen M Lynch, LMHC
• Daniel Thomas Moran, DDS
• Jaycie Lynn Mosher, R-DMT, LCAT
• Michele R Pepey, SLP
• Barbara Phillips-Cole, MD
• Joshua Potter, D.O.
• Prime Care Services Inc.
• John T Reilly, PA-C
• Ronald Schenendorf MD PC

• General Practice Physician in Shelter Island, NY
• Providers in Shelter Island, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.