DR. KELLY ANDRE JARRETT (NPI# 1124339080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124339080 |
| Entity Type | Individual |
| Full Name | DR. KELLY ANDRE JARRETT |
| Credential | M.D. |
| Practice Address |
2006 Madison Ave New York NY 10035-1217 |
| Practice Telephone | 2126330815 |
| Mailing Telephone | 2126330815 |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2016-04-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 281898 | NY | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 281898 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831703065 | Kelly Jarrett | Physical Therapist | 4869 S Bradley Rd Ste 114, Santa Maria, CA 93455-5088 | 2020-09-04 |
| 1003314014 | Kelly Lynne Jarrett | Specialist/Technologist | 3501 Taylor Ave, Baltimore, MD 21236-4406 | 2018-01-24 |
| Street Address |
2006 MADISON AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10035-1217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801931654 | Palladia, Inc. | Case Management | 2006 Madison Ave, New York, NY 10035-1217 | 2007-02-20 |
| 1952805533 | Cindy Prettypaul | Student in an Organized Health Care Education/Training Program | 2006 Madison Ave, New York, NY 10035-1217 | 2018-03-20 |
| 1437663853 | Jamie Frankenberg | Social Worker | 2006 Madison Ave, New York, NY 10035-1217 | 2017-11-21 |
| 1962954958 | Gregoire Leigh Ware | Marriage & Family Therapist | 2006 Madison Ave, New York, NY 10035-1217 | 2016-10-26 |
| 1275988420 | Ramzi Kakish | Social Worker | 2006 Madison Ave, New York, NY 10035-1217 | 2016-04-25 |
| 1790154557 | Courtney Lombard | Social Worker | 2006 Madison Ave, Attn: New York City Business Office, New York, NY 10035-1217 | 2015-09-22 |
| 1649689720 | Rebecca Emerson | Nurse Practitioner | 2006 Madison Ave, New York, NY 10035-1217 | 2014-08-04 |
| 1649616657 | Marcia L. Adams | Social Worker | 2006 Madison Ave, New York, NY 10035-1217 | 2013-05-16 |
| 1679811806 | Catherine Valencia | Counselor | 2006 Madison Ave, 1st Floor Suite 122, New York, NY 10035-1217 | 2013-01-23 |
| 1386990810 | Christal Nicole Montague | Counselor | 2006 Madison Ave, New York, NY 10035-1217 | 2012-08-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043821531 | Shandrika Potts-mills | Social Worker | 2600 Madison Ave, New York, NY 10035 | 2020-08-10 |
| 1982220919 | Christine Marie Fitzsimmons | Registered Nurse | 104-106 E 126th Street, 1a, New York, NY 10035 | 2020-06-25 |
| 1811542038 | Tamsin Jordan | Dietitian, Registered | Hunter College, 2180 3rd Ave, New York, Ny, New York, NY 10035 | 2019-08-05 |
| 1659938397 | Fanney Pereyra | Dentist | 2265 Third Avenue, New York, NY 10035 | 2019-05-28 |
| 1770046351 | Ralph Lauren Center for Cancer Care and Prevention | Special Hospital | 1919 Madison Ave Frnt 2, New York, NY 10035 | 2019-04-10 |
| 1285105866 | Union Square Eye Center LLC | Optometrist | 1815 Madison Avenue, New York, NY 10035 | 2018-12-08 |
| 1497236913 | Susannah Irene Blum | Speech-Language Pathologist | Ps 138@ps30 144 Eat 138th Street, New York, NY 10035 | 2018-08-23 |
| 1114413267 | Woodhull Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 57 East 124th St, New York, NY 10035 | 2018-07-02 |
| 1477041234 | Rina Rossignol | Social Worker | 108 Wards Island, Manhattan, NY 10035 | 2018-04-27 |
| 1669978664 | Alexandra Black | Student in an Organized Health Care Education/Training Program | 53 East 124th Street, New York, NY 10035 | 2018-03-30 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319016 | Sarah Glaser | Family Medicine | 30 W 24th St, New York, NY 10010-3207 | 2020-09-04 |
| 1396359642 | Marlene Aquino | Family Medicine | 252 E 4th St Apt 2d, New York, NY 10009-7538 | 2020-09-03 |
| 1164043378 | Weber Medical Care Pllc | Family Medicine | 10 Rutgers St Apt 4l, New York, NY 10002-7167 | 2020-04-28 |
| 1285263806 | Dcw Providers, P.a. | Family Medicine | 394 Broadway 3rd Floor, New York, NY 10013 | 2020-04-06 |
| 1770111429 | Live Life Now Health Group Pa | Family Medicine | 350 7th Ave, New York, NY 10001-5013 | 2020-03-30 |
| 1235762899 | 121 Medical P.C. | Family Medicine | 5030 Broadway Ste 818, New York, NY 10034-1670 | 2020-02-21 |
| 1558992206 | Juno Medical Practice, Pllc | Family Medicine | 2119 Frederick Douglass Blvd, New York, NY 10026-2392 | 2020-01-31 |
| 1912567884 | Chinatown True Care Medical Pllc | Family Medicine | 139 Centre St Ste 711, New York, NY 10013-4557 | 2019-06-13 |
| 1295205201 | Mary Scanlon-o'kelly | Family Medicine | 30 West St Apt 2a, New York, NY 10004-3052 | 2018-12-03 |
| 1932691532 | Tala Fanek | Family Medicine | 622 W 168th St Ph 12-1272, New York, NY 10032-3720 | 2018-05-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.