Mary Kelly (NPI# 1417294018, PAC ID# 7618278904) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1417294018 |
| PAC ID by PECOS | 7618278904 |
| Professional Enrollment ID | I20151210000182 |
| Full Name | Mary Kelly |
| Organization Legal Name | ST FRANCIS CARDIOVASCULAR PHYSICIANS PC |
| Address |
2000 N Village Ave Suite 108 Rockville Centre NY 11570-1001 |
| Phone Number | 5166781444 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7618955667 |
| Number of Group Practice Members | 314 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330259 | MERCY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2000 N Village Ave, Suite 108, Rockville Centre, NY 11570-1001 | 5166781444 | ST FRANCIS CARDIOVASCULAR PHYSICIANS PC |
| Organization Legal Name | ST FRANCIS CARDIOVASCULAR PHYSICIANS PC |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy Nimmiti | Nurse Practitioner | St Francis Cardiovascular Physicians PC | 510 Hicksville Rd, Massapequa, NY 11758-1203 |
| Christine Honor | Nurse Practitioner | St Francis Cardiovascular Physicians PC | 206 Fallwood Pkwy, Farmingdale, NY 11735-4929 |
| Doris J Nolan | Nurse Practitioner | St Francis Cardiovascular Physicians PC | 750 S Broadway, Hicksville, NY 11801-5017 |
| Mark J Kropf | Internal Medicine | St Francis Cardiovascular Physicians PC | 200 Belle Terre Rd, Suite 110, Port Jefferson, NY 11777-1928 |
| Sandra P Bastidas | Nurse Practitioner | St Francis Cardiovascular Physicians PC | 2200 Northern Blvd, Greenvale, NY 11548-1219 |
| Thomas Kodankandath | Neurology | St Francis Cardiovascular Physicians PC | 50 Route 25a, Smithtown, NY 11787-1348 |
| Rya Bankova | Physician Assistant | St Francis Cardiovascular Physicians PC | 100 Port Washington Blvd, Roslyn, NY 11576-1347 |
| Elizabeth M Guzzo | Nurse Practitioner | St Francis Cardiovascular Physicians PC | 100 Port Washington Blvd, Suite G03, Roslyn, NY 11576-1347 |
| Lance W Perez | Physician Assistant | St Francis Cardiovascular Physicians PC | 100 Port Washington Blvd, Roslyn, NY 11576-1347 |
| Joel Benowitz | General Surgery | St Francis Cardiovascular Physicians PC | 1000 N Village Ave, Rockville Center, NY 11570-1000 |
| Street Address |
2000 N VILLAGE AVE SUITE 108 |
| City | ROCKVILLE CENTRE |
| State | NY |
| Zip | 11570-1001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bijan Setareh-shenas | Dermatology | 2000 N Village Ave, Suite 312, Rockville Centre, NY 11570-1001 | |
| Jolanta Mychajlyszyn | Physician Assistant | Ophthalmic Consultants of Long Island | 2000 N Village Ave, Rockville Center, NY 11570-1078 |
| Sima Doshi-carnevale | Ophthalmology | Ophthalmic Consultants of Long Island | 2000 N Village Ave, Rockville Center, NY 11570-1078 |
| Dominic Curatola | Podiatry | 2000 N Village Ave, Suite 314, Rockville Centre, NY 11570-1001 | |
| Jack K Oats | Ophthalmology | Ophthalmic Consultants of Long Island | 2000 N Village Ave, Rockville Center, NY 11570-1078 |
| John R Wittpenn Jr. | Ophthalmology | Ophthalmic Consultants of Long Island | 2000 N Village Ave, Rockville Center, NY 11570-1078 |
| Francine A Guzman | Obstetrics/gynecology | Pollack Barbaccia and Guzman Md PC | 2000 N Village Ave, Suite 104, Rockville Centre, NY 11570-1001 |
| Magdi Sadek Sourour | Pulmonary Disease | 2000 N Village Ave, Suite 208, Rockville Ctr, NY 11570-1078 | |
| Poonam Sidhu Dulai | Neurology | 2000 N Village Ave, Suite 309, Rockville Centre, NY 11570-1001 | |
| Daniel C Garibaldi | Ophthalmology | Ophthalmic Consultants of Long Island | 2000 N Village Ave, Rockville Center, NY 11570-1078 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danniya Samuel | Physician Assistant | Mercy Medical Center | 1000 N Village Ave, Rockville Center, NY 11570-1000 |
| David Weinstock | Cardiovascular Disease (cardiology) | Mercy Internal Medicine PC | 1000 N Village Ave, Rockville Center, NY 11570-1000 |
| Syed A Kamal | Hospitalist | Southwest Suffolk Medical, P.C. | 1000 N Village Ave, Rockville Center, NY 11570-1000 |
| Marylou Hernandez | Physician Assistant | Samaritan Medical Services PC | 1000 N Village Ave, Rockville Center, NY 11570-1000 |
| Evelyn Morales | Physician Assistant | Samaritan Medical Services PC | 1000 N Village Ave, Rockville Center, NY 11570-1000 |
| Garrett W Moss | Orthopedic Surgery | Chs Physician Partners PC | 1000 N Village Ave, Rockville Center, NY 11570-1000 |
| Jonathan W Moresco | Anesthesiology | Long Island Anesthesia Physicians LLP | 1000 N Village Ave, Rockville Center, NY 11570-1000 |
| Lawrence M Rand | Internal Medicine | Chs Physician Partners PC | 1000 N Village Ave, Rockville Center, NY 11570-1000 |
| Zeba Memon | Physician Assistant | Mercy Medical Center | 1000 N Village Ave, Rockville Center, NY 11570-1000 |
| Timothy P Ryan | Physician Assistant | Samaritan Medical Services PC | 1000 N Village Ave, Rockville Center, NY 11570-1000 |
| Find all physicians in zip 11570 | |||
| City | ROCKVILLE CENTRE |
| Zip Code | 11570 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ROCKVILLE CENTRE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mary Kelly.
| 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.