Individual provider Active NPI

Kelly Nicole Kacinski, NP

  • Hematology & Oncology Physician
  • New York, NY
National Provider Identifier
1851240634
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
F432915-01 Issued in NY
Practice address
1751 York Ave
New York, NY 10128-6828
Phone
(212) 879-3496
Fax
(212) 879-3724
NPI assigned
Jan 26, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X F432915-01 NY Primary

Addresses

Primary practice location

1751 York Ave
New York, NY 10128-6828

Mailing address

1751 York Ave
New York, NY 10128-6828
Phone (212) 879-3496

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260316002349 NY Practitioner - Nurse Practitioner 5698258853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1751 York Ave
New York, NY 10128-6828
Phone (212) 879-3496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F432915-01NYMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Side Oncology Associates PLLC Dba American Infusion Center Hematology & Oncology CurrentSince Mar 2, 2026 Accepting new patients

Locations

1751 York Ave
New York, NY 10128
Phone (212) 369-2490

35 W 45th St
Fl 6
New York, NY 10036
Phone (212) 400-8384

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1769385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1851240634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286828",
            "telephone_number": "212-879-3496",
            "fax_number": "212-879-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286828",
            "telephone_number": "212-879-3496",
            "fax_number": "212-879-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACINSKI",
        "first_name": "KELLY",
        "middle_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-26",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "F432915-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.