Quinn Elizabeth Kelly

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

72 Brighton Ter
Wayne, NJ 07470-6470

Phone

(862) 377-4143

NPI assigned

Sep 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• The Way You Say LLC

  • Speech-Language Pathologist
  • Bergenfield, NJ
  • NPI 1578154605

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1801401575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 BRIGHTON TER",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706470",
            "telephone_number": "862-377-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 BRIGHTON TER",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706470",
            "telephone_number": "862-377-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "QUINN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "qkelly@nysd.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "555 Knollwood Rd",
            "city": "White Plains",
            "state": "NY",
            "country_code": "US",
            "postal_code": "106031928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "qkelly@nysd.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "555 Knollwood Rd",
            "city": "White Plains",
            "state": "NY",
            "country_code": "US",
            "postal_code": "106031928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "qkelly1@nysd.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "555 Knollwood RoadWhite Plains, NY 10603",
            "city": "Wayne",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "07470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrew Kelley, PT, DPT, CSCS
• Julia Kelly, M.S. CCC-SLP
• Lisa-Ann Kelly
• Maureen E Kelly
• Michael Edward Kelly, D.C.
• Jessica L Kelmartin, APN
• Kimberly Ann Kempey, LPC
• Kerri Scully LPC LLC
• Yvonne E Kersulec-Morillo, O.D.
• Kesler Podiatry P C

• Speech-Language Pathologist in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.