Active NPI
Elizabeth Kelly
- Speech-Language Pathologist
- Hopewell JCT, NY
National Provider Identifier
1740587252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 007396-1
- Practice address
- 46 Foster Rd
Suite 8
Hopewell JCT, NY 12533-6112 - Phone
- (845) 223-5113
- Fax
- (845) 592-2744
- NPI assigned
- Feb 17, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 007396-1 | NY | Primary |
Addresses
Primary practice location
46 Foster Rd
Suite 8
Hopewell JCT, NY 12533-6112
Mailing address
46 Foster Rd
Suite 8
Hopewell JCT, NY 12533-6112
Phone (845) 223-5113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007396-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297900800000",
"number": "1740587252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 FOSTER RD",
"address_2": "SUITE 8",
"city": "HOPEWELL JCT",
"state": "NY",
"postal_code": "125336112",
"telephone_number": "845-223-5113",
"fax_number": "845-592-2744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 FOSTER RD",
"address_2": "SUITE 8",
"city": "HOPEWELL JCT",
"state": "NY",
"postal_code": "125336112",
"telephone_number": "845-223-5113",
"fax_number": "845-592-2744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-17",
"last_updated": "2011-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "007396-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hopewell JCT, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.