MS. MARY KELLY
NPI 1174924054
Nurse Practitioner - Family in Whitestone, NY

Q: What is Mary Kelly's NPI number?

The NPI number for Mary Kelly is 1174924054. It was assigned to this individual provider in the NPPES registry on September 10, 2014.

Q: What is Mary Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Kelly was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since September 10, 2014

14435 15TH AVE, WHITESTONE, NY 11357(718) 746-7682 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Mary Kelly NPPES

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

MS. MARY KELLY (NPI 1174924054) is an individual family provider in Whitestone, New York, licensed in New York (F-338914-1) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1174924054

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. MARY KELLY

Location Address14435 15TH AVEWhitestone, NY 11357-2407

Mailing Address525 East 70th St, Dept. Of AnesthesiaNew York, NY 10021 · (212) 774-7384

Phone(718) 746-7682

Sole ProprietorYes

Enumeration DateSeptember 10, 2014

Last NPPES UpdateMay 19, 2021

NPPES CertifiedApril 27, 2021

✔ NPI 1174924054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F-338914-1

14435 15TH AVE, Whitestone, NY 11357

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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 Mary Kelly's NPI number?

The NPI number for Mary Kelly is 1174924054. It was assigned to this individual provider in the NPPES registry on September 10, 2014.

Where is Mary Kelly located?

Mary Kelly practices at 14435 15th Ave, Whitestone, NY 11357. The listed phone number is (718) 746-7682.

What is Mary Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mary Kelly was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.