Kela Neque Small, CMAA, CMA, CPT, CET

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

J4G5A8R7 Issued in NY

Practice address

Brooklyn Navy Yard, Building 292
4TH Floor, Suite 410
Brooklyn, NY 11215

Phone

(718) 435-7200

NPI assigned

Aug 30, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Kela Neque Moore Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Medical Assistant

State licenses

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1649798588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 COLUMBIA ST",
            "address_2": "6C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11231",
            "telephone_number": "347-930-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BROOKLYN NAVY YARD, BUILDING 292",
            "address_2": "4TH FLOOR, SUITE 410",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11215",
            "telephone_number": "718-435-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Livingston St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112015023",
            "country_code": "US",
            "telephone_number": "718-875-1142",
            "fax_number": "718-875-1144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "467 Columbia St Apt 6C",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112312256",
            "country_code": "US",
            "telephone_number": "347-930-9510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMALL",
        "first_name": "KELA",
        "middle_name": "NEQUE",
        "name_prefix": "Mrs.",
        "credential": "CMAA, CMA, CPT, CET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "NY",
            "license": "C8P3N8Q3",
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NY",
            "license": "J4G5A8R7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELA",
            "last_name": "MOORE",
            "middle_name": "NEQUE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dannielle Karise Small
• Dave Small, LPN
• Elutia Small
• James A Small Sr., DPM
• Kayla Small, LMSW
• Kyris Small, CRPA-P
• Lashonne Burroughs- Small
• Maria Small
• Michal Brocha Small
• Shantel S Small, RN

• Phlebotomy Technician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Phlebotomy Technician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.