MRS. SUSHEIAN SAMANTHA KELLY MD/MSCR
NPI 1497316103
Student in an Organized Health Care Education/Training Program in Bronx, NY

Q: What is Susheian Kelly's NPI number?

The NPI number for Susheian Kelly is 1497316103. It was assigned to this individual provider in the NPPES registry on June 24, 2019.

Q: What is Susheian Kelly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Susheian Kelly was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 24, 2019

111 EAST 210 ST, BRONX, NY 10467(718) 223-0127 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Susheian Samantha Kelly Md/mscr NPPES

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

MRS. SUSHEIAN SAMANTHA KELLY MD/MSCR (NPI 1497316103) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1497316103

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMRS. SUSHEIAN SAMANTHA KELLYCredential: MD/MSCR

Location Address111 EAST 210 STBronx, NY 10467

Mailing Address111 East 210 StBronx, NY 10467 · (718) 223-0127

Phone(718) 223-0127

Sole ProprietorNo

Enumeration DateJune 24, 2019

Last NPPES UpdateJune 23, 2025

✔ NPI 1497316103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

111 EAST 210 ST, Bronx, NY 10467

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Other Providers at the Same Location NPPES

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

MR. FARE KASSAM YAGNINIM II PHYSICIAN ASSISTANT

Personal Emergency Response Attendant

111 EAST 210 ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467

Bronx County (718) 920-4321

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 Susheian Kelly's NPI number?

The NPI number for Susheian Kelly is 1497316103. It was assigned to this individual provider in the NPPES registry on June 24, 2019.

Where is Susheian Kelly located?

Susheian Kelly practices at 111 East 210 St, Bronx, NY 10467. The listed phone number is (718) 223-0127.

What is Susheian Kelly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Susheian Kelly was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.