KELLY TYSON DO
NPI 1073254041
Internal Medicine in New York, NY

Active since April 05, 2022
130 E 77TH ST, NEW YORK, NY 10075(212) 434-2000 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Tyson Do NPPES

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

KELLY TYSON DO (NPI 1073254041) is an individual internal medicine provider in New York, New York, licensed in New York (331014) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1073254041
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKELLY TYSONCredential: DO
Location Address130 E 77TH STNew York, NY 10075-1851
Mailing Address130 E 77th StNew York, NY 10075-1851
Sole ProprietorNo
Enumeration DateApril 5, 2022
Last NPPES UpdateOctober 28, 2024
NPPES CertifiedOctober 28, 2024
NPI 1073254041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 331014
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
130 E 77TH ST, New York, NY 10075

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
130 E 77TH ST, 9TH FLOOR BLACK HALL
NEW YORK, NY 10075
Psychiatry & Neurology (Neuromuscular Medicine)
130 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
130 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
130 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
130 E 77TH ST
NEW YORK, NY 10075
Surgery (Vascular Surgery)
130 E 77TH ST, 13TH FLOOR
NEW YORK, NY 10075
Pediatrics
130 E 77TH ST, DEPARTMENT OF PEDIATRICS, LENOX HILL HOSPITAL
NEW YORK, NY 10075
Speech-Language Pathologist
130 E 77TH ST, 10TH FLOOR, NYHNI
NEW YORK, NY 10075

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 Kelly Tyson's NPI number?

The NPI number for Kelly Tyson is 1073254041. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Kelly Tyson located?

Kelly Tyson practices at 130 E 77th St, New York, NY 10075. The listed phone number is (212) 434-2000.

What is Kelly Tyson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Kelly Tyson was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.