Ellen C Kelly (NPI# 1679713986, PAC ID# 3173659232) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1679713986 |
| PAC ID by PECOS | 3173659232 |
| Professional Enrollment ID | I20100327000306 |
| Full Name | Ellen C Kelly |
| Organization Legal Name | LIFESPIRE, INC. |
| Address |
159 E 125th St 2nd Fl New York NY 10035-1716 |
| Phone Number | 7184543584 |
| Gender | F |
| Graduation Year | 1981 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 5496644015 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 159 E 125th St, New York, NY 10035-1716 | 2127410100 | LIFESPIRE, INC. |
| 159 E 125th St, Suite 9, New York, NY 10035-1716 | 2127410100 | LIFESPIRE, INC. |
| 159 E 125th St 2nd Fl, New York, NY 10035-1716 | 7184543584 | LIFESPIRE, INC. |
| Organization Legal Name | LIFESPIRE, INC. |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Juan R Ceron | Clinical Social Worker | Lifespire, Inc. | 159 E 125th St, Fl 2, New York, NY 10035-1716 |
| Ellaine A Thomas | Physical Therapy | Lifespire, Inc. | 5004 25th Ave, Woodside, NY 11377-7833 |
| Jay B Kleinman | Clinical Social Worker | Lifespire, Inc. | 21301 Northern Blvd, Fl 2, Bayside, NY 11361-2978 |
| Udodirim Joy Ukwu | Clinical Social Worker | Lifespire, Inc. | 18410 Jamaica Ave, 5th, Hollis, NY 11423-2400 |
| Claudette E Coke | Clinical Social Worker | Lifespire, Inc. | 159 E 125th St, New York, NY 10035-1716 |
| Alena Hrybava | Qualified Speech Language Pathologist | Lifespire, Inc. | 159 E 125th St, New York, NY 10035-1716 |
| Alan M Fisher | Occupational Therapy | Lifespire, Inc. | 159 E 125th St, New York, NY 10035-1716 |
| Deborah J Marsh | Qualified Speech Language Pathologist | Lifespire, Inc. | 159 E 125th St, New York, NY 10035-1716 |
| Linda Villarson | Nurse Practitioner | Lifespire, Inc. | 159 E 125th St, New York, NY 10035-1716 |
| Leonard A Powell | Internal Medicine | Lifespire, Inc. | 159 E 125th St, Fl 2, New York, NY 10035-1716 |
| Street Address |
159 E 125TH ST 2ND FL |
| City | NEW YORK |
| State | NY |
| Zip | 10035-1716 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jane Allyson Kuhn | Clinical Social Worker | 16 E 129th St B, New York, NY 10035-1007 | |
| Jana Lauren Fox | Radiation Oncology | The New York Proton Center | 225 E 126th St, New York, NY 10035-1406 |
| Madhur K Garg | Radiation Oncology | The New York Proton Center | 225 E 126th St, New York, NY 10035-1406 |
| Charles B Simone | Radiation Oncology | The New York Proton Center | 225 E 126th St, New York, NY 10035-1406 |
| Keyur J Mehta | Radiation Oncology | The New York Proton Center | 225 E 126th St, New York, NY 10035-1406 |
| Suzanne L Wolden | Radiation Oncology | The New York Proton Center | 225 E 126th St, New York, NY 10035-1406 |
| Shaakir Hasan | Radiation Oncology | The New York Proton Center | 225 E 126th St, New York, NY 10035-1406 |
| Nitin Ohri | Radiation Oncology | The New York Proton Center | 225 E 126th St, New York, NY 10035-1406 |
| Anna Lee | Radiation Oncology | The New York Proton Center | 225 E 126th St, New York, NY 10035-1406 |
| Robert Henry Press | Radiation Oncology | The New York Proton Center | 225 E 126th St, New York, NY 10035-1406 |
| Find all physicians in zip 10035 | |||
| City | NEW YORK |
| Zip Code | 10035 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | NEW YORK + CLINICAL SOCIAL WORKER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.