Active NPI
Ryan Patrick Kelley
- Speech-Language Pathologist
- West Seneca, NY
National Provider Identifier
1982835732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 019244
- Practice address
- 1200 E and West Rd
West Seneca, NY 14224-3604 - Phone
- (716) 885-8318
- Fax
- (716) 681-9875
- NPI assigned
- Jul 28, 2009
- Sex
- Male
- 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 | 019244 | NY | Primary |
Addresses
Primary practice location
1200 E and West Rd
West Seneca, NY 14224-3604
Mailing address
1200 E and West Rd
Buffalo, NY 14224-3604
Phone (716) 885-8318
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monroe Ddso Clinic Pittsford | Current | Accepting new patients | |
| Chautauqua County Chapter of Nysarc Inc | Past | Accepting new patients | |
| Chautauqua Co. Chapter of Nysarc Inc Dba the Resource Center | Past | Accepting new patients |
Locations
44 Holland Ave
Fl 4
Albany, NY 12208
305 Main St
Binghamton, NY 13905
Phone (607) 729-1295
106 Pine St
Hamburg, NY 14075
Phone (716) 646-0048
1200 East and West Rd
Bldg 16
West Seneca, NY 14224
Phone (716) 517-2000
Organizations & group practices 4
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.
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- Staten Island, NY
- NPI 1750469912
-
- Developmental Disabilities Clinic/Center
- Pittsford, NY
- NPI 1063546778
-
- Multi-Specialty Clinic/Center
- Jamestown, NY
- NPI 1982682639
-
- Long Term Care Pharmacy
- Jamestown, NY
- NPI 1427095892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453852800000",
"number": "1982835732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E AND WEST RD",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142243604",
"telephone_number": "716-885-8318",
"fax_number": "716-681-9875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E AND WEST RD",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142243604",
"telephone_number": "716-885-8318",
"fax_number": "716-681-9875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "RYAN",
"middle_name": "PATRICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-28",
"last_updated": "2016-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "019244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Seneca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.