MS. KELLY ANN O'TOOLE NP NPI 1033710009

NPI Information

  • NPI: 1033710009
  • Provider Name: MS. KELLY ANN O'TOOLE, NP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4 TECHNOLOGY DR STE 210
    EAST SETAUKET, NY
    ZIP 11733
  • Phone: (631) 331-1506

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NPI Details

MS. Kelly Ann O'toole, NP is an adult health nurse practitioner in East Setauket, NY. MS. Kelly Ann O'toole, NP NPI is 1033710009. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4 TECHNOLOGY DR STE 210
EAST SETAUKET, NY
ZIP 11733-068
Phone: (631) 331-1506
Fax: (631) 331-5364

The NPI 1033710009 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/5/2020 and was last updated on 1/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health309897NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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