Active NPI
Kelli Kaletcher
- Specialist
- Melville, NY
National Provider Identifier
1548718638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 538 Broadhollow Rd
Suite 202
Melville, NY 11747-3676 - Phone
- (631) 385-7780
- Fax
- (631) 385-7795
- NPI assigned
- Sep 17, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
538 Broadhollow Rd
Suite 202
Melville, NY 11747-3676
Mailing address
158 S 7TH St
Bethpage, NY 11714-2447
Phone (516) 468-5124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474070400000",
"number": "1548718638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 S 7TH ST",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "117142447",
"telephone_number": "516-468-5124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "538 BROADHOLLOW RD",
"address_2": "SUITE 202",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117473676",
"telephone_number": "631-385-7780",
"fax_number": "631-385-7795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALETCHER",
"first_name": "KELLI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-17",
"last_updated": "2016-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.