MR. CHARLES BYRON KELLEY (NPI# 1760644413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760644413 |
| Entity Type | Individual |
| Full Name | MR. CHARLES BYRON KELLEY |
| Credential | COUNSELOR |
| Practice Address |
8 E 3rd St New York NY 10003-8908 |
| Mailing Address |
345 W 55th St New York NY 10019-4553 |
| Practice Telephone | 2125338400 |
| Mailing Telephone | 6462469122 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295143766 | Charles Kelley | Licensed Practical Nurse | 8 Tedesco Dr, Woburn, MA 01801-1648 | 2014-07-29 |
| 1972815207 | Charles Roy Kelley | Internal Medicine | 2375 Kuhio Ave, Honolulu, HI 96815-2939 | 2010-07-01 |
| 1265614457 | Charles Francis Kelley Jr. | Pediatrics | 1087 Oldstone Rd, Allentown, PA 18103-4686 | 2007-11-29 |
| 1861533143 | Charles Dale Kelley | Dentist | 603 S 1st St, Lamar, CO 81052-3205 | 2007-02-09 |
| 1972561710 | Charles R Kelley | Internal Medicine | 1002 Wishard Blvd, 4th Floor, Indianapolis, IN 46202-2872 | 2006-05-02 |
| 1023010980 | Charles Walter Kelley IIi | Podiatrist | 3401 E Raymond St, Indianapolis, IN 46203-4744 | 2005-08-11 |
| 1992705214 | Charles G Kelley | Anesthesiology | 70 East St, Caritas Holy Family Hospital, Methuen, MA 01844 | 2005-07-28 |
| Street Address |
8 E 3RD ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10003-8908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699784033 | Madeline G. Pedraza | Counselor | 8 E 3rd St, New York, NY 10003-8908 | 2006-08-05 |
| 1336762756 | Carol Marcia Gordon-grant | Licensed Practical Nurse | 8 E 3rd St, New York, NY 10003-8908 | 2020-05-20 |
| 1982236485 | Leona Isufaj | Registered Nurse | 8 E 3rd St, New York, NY 10003-8908 | 2020-02-12 |
| 1134787898 | Phillip Elijah Cepero | Licensed Practical Nurse | 8 E 3rd St, New York, NY 10003-8908 | 2019-05-29 |
| 1679056709 | Susan M Wittmer | Registered Nurse | 8 E 3rd St, New York, NY 10003-8908 | 2018-09-14 |
| 1407365406 | Shelia Evans | Licensed Practical Nurse | 8 E 3rd St, New York, NY 10003-8908 | 2017-09-22 |
| 1144760430 | Kristen Ann Barisciano | Clinic/Center | 8 E 3rd St, New York, NY 10003-8908 | 2017-03-06 |
| 1639612005 | Alyssa Doherty | Registered Nurse | 8 E 3rd St, New York, NY 10003-8908 | 2016-12-02 |
| 1992247571 | Project Renewal Inc | Clinic/Center | 8 E 3rd St, New York, NY 10003-8908 | 2016-11-14 |
| 1487105532 | Emily Brown | Social Worker | 8 E 3rd St, The Recovery Center, New York, NY 10003-8908 | 2016-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245841410 | Therapeutic Alliance of New York | Psychologist | Stephanie Zola, 1 Union Square South - Apt. 21d, New York, NY 10003 | 2020-08-12 |
| 1518586999 | Sandra Zajac | Student in an Organized Health Care Education/Training Program | 350 E17th St, 15 Baird Hall R15bh52, New York, NY 10003 | 2020-04-15 |
| 1235767260 | Katharine Krushel | Student in an Organized Health Care Education/Training Program | Mount Sinai Beth Israel, First Avenue At 16th Street, 7th Floor, Bernstein Pavilion Department of Psychiatry, New York, NY 10003 | 2020-03-27 |
| 1942836861 | Suzanne Redlich | Social Worker | 340 East 17th Street, Silver L.s53, New York, NY 10003 | 2020-03-23 |
| 1245864271 | Maureen Kreider | Nurse Practitioner | 4 Irving Place, Con Edison Employee Wellness Center, New York, NY 10003 | 2020-02-28 |
| 1235780321 | Stacy Hibbert | Social Worker | 337 East Street, New York, NY 10003 | 2019-09-20 |
| 1841846862 | Miryam Alkayyali | Student in an Organized Health Care Education/Training Program | Mount Sinai Beth Isreal, First Avenue and 16th Street, New York, NY 10003 | 2019-08-15 |
| 1215580600 | Anna Catherine Kasprzak | Physician Assistant | 9 Nathan D Perlman Place, Bernstein Building, New York, NY 10003 | 2019-07-24 |
| 1154973105 | Bob P Silverstein | Social Worker | 300 Mercer St., #11e, Bob P. Silverstein, Lcsw, New York, NY 10003 | 2019-07-10 |
| 1962064378 | Simon Garceau | Orthopaedic Surgery | 301 E 17th Street - Nyu Langone Orthopedic Hospital, Education Office, New York, NY 10003 | 2019-07-05 |
| Find all providers in zip 10003 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053926030 | Giuliette A Pfeiffer | Case Manager/Care Coordinator | 3111 Broadway Apt 1e, New York, NY 10027-4605 | 2020-09-15 |
| 1134776032 | Kenia A De Jesus | Case Manager/Care Coordinator | 535 8th Ave 2nd Fl, New York, NY 10018-4332 | 2019-08-25 |
| 1780239517 | Tiffani Bishop | Case Manager/Care Coordinator | 1571 Lexington Ave, New York, NY 10029-6210 | 2019-08-08 |
| 1386203024 | Johanny Garcia | Case Manager/Care Coordinator | 460 W 149th St Apt 56, New York, NY 10031-3614 | 2019-06-06 |
| 1518429554 | Teresa Tejeda | Case Manager/Care Coordinator | 556 W 180th St Apt 5a, New York, NY 10033-5813 | 2019-04-01 |
| 1992266738 | Jeancarlos Mejia | Case Manager/Care Coordinator | 1653 Saint Nicholas Ave Apt 12e, New York, NY 10040-3013 | 2019-03-26 |
| 1578022646 | Cecile N. Johnson | Case Manager/Care Coordinator | 156 W 56th St Ste 803, New York, NY 10019-3938 | 2019-03-18 |
| 1700344561 | Ayushi Arora | Case Manager/Care Coordinator | 1571 Lexington Ave Apt 21, New York, NY 10029-6213 | 2019-03-11 |
| 1801350418 | Yarisa Garcia | Case Manager/Care Coordinator | 252 E 4th St Apt 6c, New York, NY 10009-7543 | 2019-01-28 |
| 1871060640 | Jose Jean Paul Miliano | Case Manager/Care Coordinator | 535 Eighth Avenue. 2nd Floor, New York, NY 10018 | 2018-10-30 |
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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.