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KELLY HERAGHTY
NPI 1609423821
Nurse Practitioner - Family in West Islip, NY

Active since August 22, 2019
1175 MONTAUK HWY, WEST ISLIP, NY 11795(631) 376-0001 Get Directions Write a Review

NPPES record last updated: August 22, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Heraghty NPPES

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

KELLY HERAGHTY (NPI 1609423821) is an individual family provider in West Islip, New York, licensed in New York (344263) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1609423821
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY HERAGHTY
Location Address1175 MONTAUK HWYWest Islip, NY 11795-4939
Mailing Address40 Kingfisher RdLevittown, NY 11756-2130 · (516) 395-4465
Phone(631) 376-0001
Sole ProprietorNo
Enumeration DateAugust 22, 2019
✔ NPI 1609423821 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 · 344263
1175 MONTAUK HWY, West Islip, NY 11795
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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.

PINNACLE PHYSICAL MEDICINE AND REHABILITATION, PC
Physical Medicine & Rehabilitation
1175 MONTAUK HWY, SUITE 6
WEST ISLIP, NY 11795
Suffolk County (631) 422-5371
DR. NITIN RAJKUMAR MARIWALLA MD, MPH, MS
Neurological Surgery
1175 MONTAUK HWY, STE 3
WEST ISLIP, NY 11795
Suffolk County (631) 500-9400
MRS. ANDREA JO GIBBONS R.P.A.-C.
Physician Assistant
1175 MONTAUK HWY, SUITE 4
WEST ISLIP, NY 11795
Suffolk County (631) 422-9600
DR. RAJKUMAR G MARIWALLA M.D.
Internal Medicine (Gastroenterology)
1175 MONTAUK HWY, SUITE #3
WEST ISLIP, NY 11795
Suffolk County (631) 669-1171
TRUE NORTH MEDICAL OF SUFFOLK, PC
Neurological Surgery
1175 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (833) 666-6066
MEDICAL SERVICES OF MOUNT SINAI, P.C.
Neurological Surgery
1175 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (833) 666-6066
TRUE NORTH MEDICAL OF MANHASSET, PC
Neurological Surgery
1175 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (833) 666-6066
INDERJEET SINGH NAGPAL MD
Pediatrics
1175 MONTAUK HWY, STE4
WEST ISLIP, NY 11795
Suffolk County (631) 422-9600

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 Kelly Heraghty's NPI number?

The NPI number for Kelly Heraghty is 1609423821. It was assigned to this individual provider in the NPPES registry on August 22, 2019.

Where is Kelly Heraghty located?

Kelly Heraghty practices at 1175 Montauk Hwy, West Islip, NY 11795. The listed phone number is (631) 376-0001.

What is Kelly Heraghty'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 Kelly Heraghty was last updated on August 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.