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SHANNON KELLY PA-C
NPI 1508306309
Physician Assistant in New York, NY

Active since February 28, 2017
159 E 74TH ST, SECOND FLOOR, NEW YORK, NY 10021(516) 732-1675 Get Directions Write a Review

NPPES record last updated: February 28, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Kelly Pa-c NPPES

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

SHANNON KELLY PA-C (NPI 1508306309) is an individual physician assistant in New York, New York, licensed in New York (0205481) and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1508306309
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHANNON KELLYCredential: PA-C
Location Address159 E 74TH ST, SECOND FLOORNew York, NY 10021-3235
Mailing Address159 E 74th St, Second FloorNew York, NY 10021-3235 · (516) 732-1675
Phone(516) 732-1675
Sole ProprietorNo
Enumeration DateFebruary 28, 2017
✔ NPI 1508306309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 0205481
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
159 E 74TH ST, New York, NY 10021
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Other Providers at the Same Location NPPES 20

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

MIKAYLA O'BRIEN PA
Physician Assistant
159 E 74TH ST
NEW YORK, NY 10021
New York County (212) 737-3301
KAYLEE NICOLE TURMAN PA
Physician Assistant
159 E 74TH ST
NEW YORK, NY 10021
New York County (212) 737-3301
GAVIN MATTHEW SILVER PT
Physical Therapist
159 E 74TH ST, 1 FLOOR
NEW YORK, NY 10021
New York County (212) 737-3301
BENJAMIN BEDFORD MD
Orthopaedic Surgery
159 E 74TH ST
NEW YORK, NY 10021
New York County (212) 737-3301
STEPHEN J NICHOLAS MD PC
Orthopaedic Surgery
159 E 74TH ST
NEW YORK, NY 10021
New York County (212) 737-3301
MATTHEW SAMUEL JOAQUIN MENDEZ-ZFASS M.D
Orthopaedic Surgery (Sports Medicine)
159 E 74TH ST
NEW YORK, NY 10021
New York County (212) 737-3301
KAILEEN ELIZABETH MURRAY
Physician Assistant
159 E 74TH ST
NEW YORK, NY 10021
New York County (212) 737-3301
ATHALON PHYSICAL THERAPY PC
Clinic/Center (Physical Therapy)
159 E 74TH ST, STE 3
NEW YORK, NY 10021
New York County (212) 838-8023

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 Shannon Kelly's NPI number?

The NPI number for Shannon Kelly is 1508306309. It was assigned to this individual provider in the NPPES registry on February 28, 2017.

Where is Shannon Kelly located?

Shannon Kelly practices at 159 E 74th St Second Floor, New York, NY 10021. The listed phone number is (516) 732-1675.

What is Shannon Kelly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Shannon Kelly was last updated on February 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.