JEFFREY L KELLER MD NPI 1962459875

NPI Information

  • NPI: 1962459875
  • Provider Name: JEFFREY L KELLER, MD
  • Classification: Otolaryngology - 207Y00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 90 S BEDFORD RD
    CARE MOUNT MEDICAL PC
    MOUNT KISCO, NY
    ZIP 10549
  • Phone: (914) 241-1050

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NPI Details

Jeffrey L Keller, MD is an otolaryngology in Mount Kisco, NY with 35 years of experience. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. Jeffrey L Keller, MD NPI is 1962459875. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1990

The provider's business location address is:

90 S BEDFORD RD
CARE MOUNT MEDICAL PC
MOUNT KISCO, NY
ZIP 10549-412
Phone: (914) 241-1050
Fax: (914) 242-1516

The NPI 1962459875 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 5/27/2006 and was last updated on 11/11/2016.

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
1207YP0228XOtolaryngologyPediatric Otolaryngology188631NEW YORKNo
2207YX0905XOtolaryngologyOtolaryngology/Facial Plastic Surgery188631NEW YORKNo
3207Y00000XOtolaryngology188631NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10667910001OTHERNEW YORKDME
2P00421812OTHERNEW YORKMEDICARE RAILROAD
301655114MEDICAIDNEW YORK
414K5306761MEDICARE PINNEW YORK
514K531MEDICARE PINNEW YORK

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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