Active NPI
Michael Francis Kelly Jr., 223700000X,22520000X
- Massage Therapist
- Suffern, NY
National Provider Identifier
1881550887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 002694
- Practice address
- 104 Lafayette Ave
Suffern, NY 10901-5552 - Phone
- (845) 893-8117
- Fax
- (845) 562-8999
- NPI assigned
- Jan 2, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 002694 | NY | Primary |
Addresses
Primary practice location
104 Lafayette Ave
Suffern, NY 10901-5552
Mailing address
104 Lafayette Ave
Suffern, NY 10901-5552
Phone (845) 893-8117
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 |
|---|---|---|---|
| 002694 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767312000000",
"number": "1881550887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 LAFAYETTE AVE",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109015552",
"telephone_number": "845-893-8117",
"fax_number": "845-562-8999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 LAFAYETTE AVE",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109015552",
"telephone_number": "845-893-8117",
"fax_number": "845-562-8999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "MICHAEL",
"middle_name": "FRANCIS",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "223700000X,22520000X",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-01-02",
"last_updated": "2026-01-02",
"certification_date": "2026-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "002694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suffern, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.