MR. PETER KELLY MSN NP-C OCN NPI 1578853099

NPI Information

NPI: 1578853099
Provider Name: MR. PETER KELLY, MSN, NP-C, OCN
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
27005 76TH AVE
ONCOLOGY BLDG., 3RD FLOOR
NEW HYDE PARK, NY
ZIP 11040
Phone: (718) 470-8930
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MR. Peter Kelly, MSN, NP-C, OCN is an adult health nurse practitioner in New Hyde Park, NY. MR. Peter Kelly, MSN, NP-C, OCN NPI is 1578853099. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

27005 76TH AVE
ONCOLOGY BLDG., 3RD FLOOR
NEW HYDE PARK, NY
ZIP 11040-402
Phone: (718) 470-8930

The NPI 1578853099 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 4/18/2011 and was last updated on 4/18/2011.

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
1	363LA2200X	Nurse Practitioner	Adult Health	30305589	NEW YORK	Yes

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: 5/5/2024

NPI Synchronization or Removal

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