Habib R. Kelly M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD031034L Issued in PA

Legal business name

HABIB R. KELLY M.D.

Practice address

6112 Torresdale Ave
Philadelphia, PA 19135-3718

Phone

(215) 333-7437

Fax

(215) 333-9558

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Habib R Kelly, M.D.

Title

President

Phone

(215) 333-7437

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720112477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6112 TORRESDALE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191353718",
            "telephone_number": "215-333-7437",
            "fax_number": "215-333-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6112 TORRESDALE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191353718",
            "telephone_number": "215-333-7437",
            "fax_number": "215-333-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABIB R. KELLY M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "HABIB",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-333-7437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD031034L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005884910003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIPAA",
            "identifier": "0053497000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1407853849",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara A Haber, M.D.
• Catherine Emily Haber, MD
• Howard L Haber, M.D.
• Kurt Haberle, PA-C
• Habib Homecare LLC
• Joyce Georges Habib, M.D.
• Rania A Habib, DDS, MD
• Nicholas Habibian, MD
• Mohammed Issam Habis, MD
• Natalie Habiyaremye, PHARMD

• Specialist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.