KARA CONNELLY


Address: 350 Grand St, Room 240, New York, NY 10002-4629
Phone: 2126347550

KARA CONNELLY (NPI# 1174959845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174959845
Entity Type Individual
Full Name KARA CONNELLY
Credential FNP
Practice Address 350 Grand St
Room 240
New York
NY 10002-4629
Mailing Address 60 Madison Ave
5th Floor
New York
NY 10010-1600
Practice Telephone 2126347550
Practice Fax Number 6469354665
Mailing Telephone 2125452400
Mailing Fax Number 6463120481
Enumeration Date 2013-09-25
Last Update Date 2016-12-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
F338136 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 00695941 05

Other Providers KARA CONNELLY

NPI Name Taxonomy Address Enumeration
1730383431 Kara Jeanne Connelly Pediatrics 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2007-06-14

Office Location

Street Address 350 GRAND ST
ROOM 240
City NEW YORK
State NY
Zip Code 10002-4629

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992197875 Community Healthcare Network, Inc Clinic/Center 350 Grand St, Room 240, New York, NY 10002-4629 2015-03-02
1780081182 Hanna Chapman Nurse Practitioner 350 Grand St, Room 240, New York, NY 10002-4629 2014-12-01
1497157614 Alexandra Schmerge Speech-Language Pathologist 350 Grand St, New York, NY 10002-4629 2014-09-18
1104173632 Jenny Davis Nurse Practitioner 350 Grand St, New York, NY 10002-4629 2012-08-15
1235495946 Robert Berkowitz Registered Nurse 350 Grand St, New York, NY 10002-4629 2012-04-06

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City NEW YORK
Zip Code 10002

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Dataset Information

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.

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