Active NPI
Dorothy Ann Kelen, RN
- School Registered Nurse
- Bronx, NY
National Provider Identifier
1558637066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 242956-1
- Practice address
- Ms 118 577 East 179 St
Medical Room
Bronx, NY 10457 - Phone
- (718) 584-2948
- NPI assigned
- Mar 29, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 242956-1 | NY | |
| School Registered Nurse | 163WS0200X | 242956-1 | NY | Primary |
Addresses
Primary practice location
Ms 118 577 East 179 St
Medical Room
Bronx, NY 10457
Mailing address
Ms 118 577 East 179 Street
Medical Room
Bronx, NY 10466
Phone (718) 584-2948
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242956-1 | NY | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332979200000",
"number": "1558637066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MS 118 577 EAST 179 STREET",
"address_2": "MEDICAL ROOM",
"city": "BRONX",
"state": "NY",
"postal_code": "10466",
"telephone_number": "718-584-2948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MS 118 577 EAST 179 ST",
"address_2": "MEDICAL ROOM",
"city": "BRONX",
"state": "NY",
"postal_code": "10457",
"telephone_number": "718-584-2948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELEN",
"first_name": "DOROTHY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-29",
"last_updated": "2012-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "242956-1",
"primary": false
},
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NY",
"license": "242956-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.