Patricia Kelly Medical PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

232224-1 Issued in NY

Legal business name

PATRICIA KELLY MEDICAL PC

Practice address

2171 Jericho Tpke
Suite 100
Commack, NY 11725-2937

Phone

(877) 646-2228

Fax

(877) 922-3329

NPI assigned

Jul 31, 2015

Organization subpart

No

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

Authorized official

Name

Michelle Clancy

Title

Evp

Phone

(877) 646-2228

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Bonheim, M.D.

  • Diagnostic Radiology Physician
  • Hauppauge, NY
  • NPI 1235139775
  NPD (past)

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1679959787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 WIRELESS BLVD",
            "address_2": "SUITE 102",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883914",
            "telephone_number": "877-646-2228",
            "fax_number": "877-922-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 JERICHO TPKE",
            "address_2": "SUITE 100",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252937",
            "telephone_number": "877-646-2228",
            "fax_number": "877-922-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA KELLY MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "CLANCY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "877-646-2228"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "232224-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Passaro
• Dipti Ramesh Patel, DC
• Jignesh K Patel, M.D.
• Parth Patel, MD
• Vrajesh M Patel, D.O,
• Patricia Kelly Medical, P.C.
• Karen Patterson
• Brianna Paulino
• Neha S Pawar, M.D.
• Angela Paz, LMHC

• Cardiovascular Disease Physician in Commack, NY
• Providers in Commack, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.