John Joseph Kelly, MS.ED, CAS

Primary specialty

Blind Rehabilitation Specialist/TechnologistTaxonomy code 2255R0406X

License

785484971 Issued in NY

Practice address

4410 Whispering HLS
Chester, NY 10918-1584

Phone

(845) 478-5512

Fax

(845) 913-1995

NPI assigned

Dec 26, 2012

Last updated

Dec 27, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• John J Kelly Vision Consulting, LLC

  • Early Intervention Provider Agency
  • Chester, NY
  • NPI 1174886147
  NPD (past) Authorized official

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356566400000",
    "number": "1609112432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 WHISPERING HLS",
            "city": "CHESTER",
            "state": "NY",
            "postal_code": "109181584",
            "telephone_number": "845-478-5512",
            "fax_number": "845-913-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 WHISPERING HLS",
            "city": "CHESTER",
            "state": "NY",
            "postal_code": "109181584",
            "telephone_number": "845-478-5512",
            "fax_number": "845-913-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "MS.ED, CAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-26",
        "last_updated": "2012-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255R0406X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Rehabilitation, Blind",
            "state": "NY",
            "license": "785484971",
            "primary": true
        },
        {
            "code": "225CX0006X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Orientation and Mobility Training Provider",
            "state": "AZ",
            "license": "1938",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Jimenez, LCSW
• John J Kelly Vision Consulting, LLC
• Rayven Johnson
• Kirstin Lynn Kavountzis
• Kelly Chiropractic Wellness Center PC
• Lauren Ashley Kelly, COTA/L
• Miyoung Kim
• Matthew S King, DMD
• Edward Eber Konis, M.D.
• Kristina Barton (Barton Consulting and Self Care)

• Blind Rehabilitation Specialist/Technologist in Chester, NY
• Providers in Chester, NY by specialty
• Blind Rehabilitation Specialist/Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.