DR JAMES R KELLY M D P C
NPI 1013103860
Ophthalmology in New York, NY

Q: What is Dr James R Kelly M D P C's NPI number?

The NPI number for Dr James R Kelly M D P C is 1013103860. It was assigned to this organization in the NPPES registry on September 14, 2007.

Q: What is Dr James R Kelly M D P C's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since September 14, 2007CLIA 33D2056335 · Waiver

110 E 60TH ST RM 602, NEW YORK, NY 10022(212) 808-4888(212) 808-4999 Get Directions Write a Review

NPPES record last updated: September 4, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr James R Kelly M D P C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR JAMES R KELLY M D P C (NPI 1013103860) is a healthcare organization registered as an ophthalmology in New York, New York and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through March 25, 2027 and lists James R Kelly, Physician, as its authorized official.

NPPES Registry Identity

NPI1013103860

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameDR JAMES R KELLY M D P C

Location Address110 E 60TH ST RM 602New York, NY 10022-1811

Mailing Address110 E 60th St Rm 602New York, NY 10022-1811 · (212) 808-4888 · Fax (212) 808-4999

Phone(212) 808-4888

Fax(212) 808-4999

Organization SubpartNo

Authorized OfficialJames R KellyPhysician · (212) 808-4888

Enumeration DateSeptember 14, 2007

Last NPPES UpdateSeptember 4, 2026

NPPES CertifiedSeptember 4, 2026

✔ NPI 1013103860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in NY · 197045

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

110 E 60TH ST RM 602, New York, NY 10022

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr James R Kelly M D P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Dr James R Kelly M D P C, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Ashley Brissette, MD

Ophthalmology

NPI 1366802951

110 E 60TH ST RM 602
New York, NY 10022

(212) 808-4888

✔ PECOS✔ Accepts MedicareSame address

James Kelly, M.D.

Ophthalmology

NPI 1659361848

110 E 60TH ST RM 602
New York, NY 10022

(212) 808-4888

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2056335

James R Kelly, MD, PC Dba Kelly Laser Center · New York, NY

Active · expires Mar 25, 2027

CLIA Number33D2056335

Laboratory TypePhysician Office

Certificate Effective DateMarch 26, 2025

Certificate Expiration DateMarch 25, 2027

Laboratory DirectorDr. James R. Kelly

Laboratory Phone(212) 808-4888

Laboratory LocationJames R Kelly, MD, PC Dba Kelly Laser Center110 East 60th Street Suite 602, New York, NY 10022

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr James R Kelly M D P C's NPI number?

The NPI number for Dr James R Kelly M D P C is 1013103860. It was assigned to this organization in the NPPES registry on September 14, 2007.

Where is Dr James R Kelly M D P C located?

Dr James R Kelly M D P C is located at 110 E 60th St Rm 602, New York, NY 10022. The listed phone number is (212) 808-4888.

What is Dr James R Kelly M D P C's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Dr James R Kelly M D P C enrolled in Medicare?

Yes. Dr James R Kelly M D P C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr James R Kelly M D P C?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Ophthalmology, reassign their Medicare billing to Dr James R Kelly M D P C. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dr James R Kelly M D P C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2056335) is associated with this NPI, valid through March 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dr James R Kelly M D P C was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.