Mary P Kelly

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

028640-1 Issued in NY

Practice address

1032 Main St
Fishkill, NY 12524-3503

Phone

(845) 897-3330

Fax

(845) 897-3753

NPI assigned

May 21, 2019

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

Enrolled in NY

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1578120036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 MAIN ST",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125243503",
            "telephone_number": "845-897-3330",
            "fax_number": "845-897-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 MAIN ST",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125243503",
            "telephone_number": "845-897-3330",
            "fax_number": "845-897-3753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MARY",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "028640-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kai Kandrysawtz
• Jonathan Scott Kaplan, M.D.
• Stephen Katz, M.D.
• Steven Philip Kaufman
• Erin Kelly, RN, BSN, CDE
• Laurel Lillian Kemp, FNP
• Sophia Khan, M.D.
• Sherali Khurshid, D.D.S.
• Jonathan J Kim, D.D.S.
• Darlene Klosen

• Speech-Language Pathologist in Fishkill, NY
• Providers in Fishkill, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.