Anne M Kelly MD PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

210036-1 Issued in NY

Legal business name

ANNE M KELLY MD PC

Practice address

333 Earle Ovington Blvd
Omni Building
Uniondale, NY 11553-3610

Phone

(516) 357-8208

Fax

(516) 222-6893

NPI assigned

Apr 24, 2008

Last updated

Jun 28, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter McKinnon

Title

Billing Manager

Phone

(914) 244-9530

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1578738100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 EARLE OVINGTON BLVD",
            "address_2": "OMNI BUILDING",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115533610",
            "telephone_number": "516-357-8208",
            "fax_number": "516-222-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 EARLE OVINGTON BLVD",
            "address_2": "OMNI BUILDING",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115533610",
            "telephone_number": "516-357-8208",
            "fax_number": "516-222-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE M KELLY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "MCKINNON",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "914-244-9530"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "210036-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Uniondale, NY
• Providers in Uniondale, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.

Verify at the official NPI Registry.