1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Physician Assistant
  6. NPI Profile

COLLEEN KELLY
NPI 1083196968
Physician Assistant - Medical in New York, NY

Active since September 06, 2018PECOS Enrolled
170 WILLIAM ST, NEW YORK, NY 10038(212) 312-5000 Get Directions Write a Review

NPPES record last updated: September 6, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Colleen Kelly NPPES

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

COLLEEN KELLY (NPI 1083196968) is an individual medical provider in New York, New York and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083196968
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCOLLEEN KELLY
Location Address170 WILLIAM STNew York, NY 10038-2612
Mailing Address809 6th StE Northport, NY 11731-2114 · (631) 338-9022
Phone(212) 312-5000
Sole ProprietorNo
Enumeration DateSeptember 6, 2018
✔ NPI 1083196968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
170 WILLIAM ST, New York, NY 10038
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colleen Kelly is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

LEE WINTER M.D.
Anesthesiology
170 WILLIAM ST
NEW YORK, NY 10038
New York County (212) 312-5000
LINDA EHRLICH C.R.N.A.
Nurse Anesthetist, Certified Registered
170 WILLIAM ST
NEW YORK, NY 10038
New York County (212) 312-5244
FRANCO P CERABONA M.D
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
170 WILLIAM ST, 4TH FLOOR
NEW YORK, NY 10038
New York County (212) 312-5922
DR. JAMES J TUCCI M.D.
Pediatrics (Sports Medicine)
170 WILLIAM ST, 8TH FLOOR
NEW YORK, NY 10038
New York County (212) 312-5949
RITA H LIN M.D.
Pediatrics
170 WILLIAM ST
NEW YORK, NY 10038
New York County (212) 312-5335
XIULI MENG M.D.
Physical Medicine & Rehabilitation
170 WILLIAM ST
NEW YORK, NY 10038
New York County (212) 312-5000
GERALD DAVID GINSBERG MD
Plastic Surgery
170 WILLIAM ST
NEW YORK, NY 10038
New York County (212) 312-5555
STEVEN GREG FRIEDMAN MD
Surgery (Vascular Surgery)
170 WILLIAM ST
NEW YORK, NY 10038
New York County (121) 312-5255

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 Colleen Kelly's NPI number?

The NPI number for Colleen Kelly is 1083196968. It was assigned to this individual provider in the NPPES registry on September 6, 2018.

Where is Colleen Kelly located?

Colleen Kelly practices at 170 William St, New York, NY 10038. The listed phone number is (212) 312-5000.

What is Colleen Kelly's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Colleen Kelly enrolled in Medicare?

Yes. Colleen Kelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Colleen Kelly was last updated on September 6, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.