Krysta C Donnelly

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

1 Craig B Gariepy Ave
Islip Terrace, NY 11752-2820

Phone

(631) 650-6545

Fax

(631) 650-6546

NPI assigned

Jul 22, 2021

Last updated

Jul 22, 2021By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1487227732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 ARTIST DR",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119531306",
            "telephone_number": "631-457-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CRAIG B GARIEPY AVE",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117522820",
            "telephone_number": "631-650-6545",
            "fax_number": "631-650-6546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "KRYSTA",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Michael Delagera Jr., DDS
• Erin E Delaney, LPN
• Lindsey Grace Dermody
• Katelyn Margaret Deveraux
• Kristy Didomenico
• Amanda Duquesnay
• East Islip School District
• Kalovna Ketsia Edmond
• Elizabeth D Cidoni
• Samantha Erin Feld-Ansbach, MD

• Specialist in Islip Terrace, NY
• Providers in Islip Terrace, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.