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DR. DOMINIQUE K KELLY MD
NPI 1245316223
Specialist in New York, NY

Active since October 31, 2006
301 EAST 17TH STREET, NEW YORK, NY 10003(212) 460-0125(646) 878-1604 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Dominique K Kelly Md NPPES

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

DR. DOMINIQUE K KELLY MD (NPI 1245316223) is an individual specialist in New York, New York, licensed in New York (237303) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1245316223
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. DOMINIQUE K KELLYCredential: MD
Location Address301 EAST 17TH STREETNew York, NY 10003-3804
Mailing Address301 East 17th StreetNew York, NY 10003-3804 · (212) 460-0125 · Fax (646) 878-1604
Phone(212) 460-0125
Fax(646) 878-1604
Sole ProprietorNo
Enumeration DateOctober 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1245316223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 237303
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 EAST 17TH STREET, New York, NY 10003
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Other Providers at the Same Location NPPES 7

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

NANCY ARBUAH ANP-BC
Nurse Practitioner (Adult Health)
301 EAST 17TH STREET
NEW YORK, NY 10003
New York County (347) 899-7917
EDWARD C LIN M.D.
Anesthesiology
301 EAST 17TH STREET, DEPARTMENT OF ANESTHESIOLOGY
NEW YORK, NY 10003
New York County (212) 598-6085
DR. STEVEN A STUCHIN M.D.
Specialist
301 EAST 17TH STREET, SUITE 1402
NEW YORK, NY 10003
New York County (212) 598-6708
DR. LUIS A PARDO MD
Specialist
301 EAST 17TH STREET
NEW YORK, NY 10003
New York County (212) 460-0125
DR. ELAINE MAU MSC MD MBA FRCSC
Orthopaedic Surgery
301 EAST 17TH STREET, HOSPITAL FOR JOINT DISEASE, DEPT OF ORTHOPAEDIC SURGERY
MANHATTAN, NY 10003
New York County (212) 598-6000
ANESTHESIOLOGY ASSOC OF MANHATTAN PC
Specialist
301 EAST 17TH STREET
NEW YORK, NY 10003
New York County (212) 598-6610
JANIS KUCICH RPH
Pharmacist
301 EAST 17TH STREET, NYU HOSPITAL FOR JOINT DISEASES, PHARMACY DEPT.
NEW YORK, NY 10003
New York County (212) 598-6717

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 Dominique Kelly's NPI number?

The NPI number for Dominique Kelly is 1245316223. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Dominique Kelly located?

Dominique Kelly practices at 301 East 17th Street, New York, NY 10003. The listed phone number is (212) 460-0125.

What is Dominique Kelly'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 Dominique Kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.