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JENNIFER EILEEN KELLY
NPI 1396386744
Specialist in Ronkonkoma, NY

Active since October 07, 2019
2354 OCEAN AVE, RONKONKOMA, NY 11779(516) 698-9476 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 13, 2020, Oct 7, 2019 (2 updates tracked since 2019).

About Jennifer Eileen Kelly NPPES

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

JENNIFER EILEEN KELLY (NPI 1396386744) is an individual specialist in Ronkonkoma, New York, licensed in New York (834869) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1396386744
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJENNIFER EILEEN KELLY
Location Address2354 OCEAN AVERonkonkoma, NY 11779-6578
Mailing Address2354 Ocean AveRonkonkoma, NY 11779-6578 · (516) 698-9476
Phone(516) 698-9476
Sole ProprietorYes
Enumeration DateOctober 7, 2019
Last NPPES UpdateOctober 13, 20202 updates tracked since enumeration
NPPES CertifiedOctober 13, 2020
✔ NPI 1396386744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 834869
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2354 OCEAN AVE, Ronkonkoma, NY 11779
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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 Jennifer Kelly's NPI number?

The NPI number for Jennifer Kelly is 1396386744. It was assigned to this individual provider in the NPPES registry on October 7, 2019.

Where is Jennifer Kelly located?

Jennifer Kelly practices at 2354 Ocean Ave, Ronkonkoma, NY 11779. The listed phone number is (516) 698-9476.

What is Jennifer 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 Jennifer Kelly was last updated on October 13, 2020. 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.