KELLY MANZELLA
NPI 1154206944
Specialist in Massapequa Park, NY

Active since August 11, 2025
301 PENNSYLVANIA AVE, MASSAPEQUA PARK, NY 11762(516) 547-6662 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Manzella NPPES

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

KELLY MANZELLA (NPI 1154206944) is an individual specialist in Massapequa Park, New York and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1154206944
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameKELLY MANZELLA
Location Address301 PENNSYLVANIA AVEMassapequa Park, NY 11762-2848
Mailing Address301 Pennsylvania AveMassapequa Park, NY 11762-2848 · (516) 547-6662
Sole ProprietorYes
Enumeration DateAugust 11, 2025
NPPES CertifiedAugust 5, 2025
NPI 1154206944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
301 PENNSYLVANIA AVE, Massapequa Park, NY 11762

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 Manzella's NPI number?

The NPI number for Kelly Manzella is 1154206944. It was assigned to this individual provider in the NPPES registry on August 11, 2025.

Where is Kelly Manzella located?

Kelly Manzella practices at 301 Pennsylvania Ave, Massapequa Park, NY 11762. The listed phone number is (516) 547-6662.

What is Kelly Manzella's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kelly Manzella was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.