Kelly Horn, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

234578 Issued in NY

Practice address

90-04 161St Street
5TH Floor
Jamaica, NY 11432-6103

Phone

(718) 523-2123

Fax

(718) 523-5833

NPI assigned

Apr 20, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: kelly.horn@chn.eclinicaldirectplus.com

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

• Community Healthcare Network Inc

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1316014103
  Medicare reassignment NPD
• Community Healthcare Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Jamaica, NY
  • NPI 1184791923
  NPD
• Community Healthcare Network Inc

  • Federally Qualified Health Center (FQHC)
  • New York, NY
  • NPI 1154498053
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1699730580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MADISON AVE FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100101600",
            "telephone_number": "212-545-2439",
            "fax_number": "646-312-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90-04 161ST STREET",
            "address_2": "5TH FLOOR",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114326103",
            "telephone_number": "718-523-2123",
            "fax_number": "718-523-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORN",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "234578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02674317",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adia Hopkinson, LPN
• Brian Robert Hopp, PA
• Faria Hoque
• Sabiha Hoque
• Janet Horn, MD
• Laurie Horowitz
• Vidya Hosein- Latchman,, CASAC
• Afzal Hossain, M.D.
• F M Akram Hossain, PT
• Imran Hossain, PA-C

• Family Medicine Physician in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.