MARY MICHAEL KELLEY PA-C
NPI 1689608275
Physician Assistant in Kingston, NY

Active since July 10, 2006
396 BROADWAY, KINGSTON, NY 12401(845) 334-2890 Get Directions Write a Review

NPPES record last updated: July 12, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Michael Kelley Pa-c NPPES

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

MARY MICHAEL KELLEY PA-C (NPI 1689608275) is an individual physician assistant in Kingston, New York, licensed in New York (007123) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1689608275
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY MICHAEL KELLEYCredential: PA-C
Location Address396 BROADWAYKingston, NY 12401-4626
Mailing Address307 S Evergreen AveWoodbury, NJ 08096-2739 · (856) 686-4300
Sole ProprietorNo
Enumeration DateJuly 10, 2006
Last NPPES UpdateJuly 12, 2007
NPI 1689608275 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 · 007123
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.
396 BROADWAY, Kingston, NY 12401

Other Identifiers 3

Medicare ID-Type Unspecified5F5551NY
Other364664NY · Mvp
Medicare UPINP25686NY

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.

Nurse Practitioner (Family)
396 BROADWAY
KINGSTON, NY 12401
Emergency Medicine
396 BROADWAY
KINGSTON, NY 12401
Clinic/Center (Multi-Specialty)
396 BROADWAY
KINGSTON, NY 12401
Emergency Medicine
396 BROADWAY
KINGSTON, NY 12401
Emergency Medicine
396 BROADWAY
KINGSTON, NY 12401
Internal Medicine
396 BROADWAY, MID HUDSON PHYSICIANS, PC
KINGSTON, NY 12401
Registered Nurse (Obstetric, Inpatient)
396 BROADWAY
KINGSTON, NY 12401
Nurse Practitioner
396 BROADWAY
KINGSTON, NY 12401

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 Mary Kelley's NPI number?

The NPI number for Mary Kelley is 1689608275. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Mary Kelley located?

Mary Kelley practices at 396 Broadway, Kingston, NY 12401. The listed phone number is (845) 334-2890.

What is Mary Kelley'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 Mary Kelley was last updated on July 12, 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.