DR. EILEEN KELLY M.D. - NPI 1689616773 - Pediatrics in East Moriches, NY

Q: What is Eileen Kelly's NPI number?

The NPI number for Eileen Kelly is 1689616773. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Q: What is Eileen Kelly's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Eileen Kelly was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Dr. Eileen Kelly M.d. NPPES

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

DR. EILEEN KELLY M.D. (NPI 1689616773) is an individual pediatrics provider in East Moriches, New York, licensed in New York (202778) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1689616773

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. EILEEN KELLYCredential: M.D.

Location Address492 MONTAUK HWYEast Moriches, NY 11940-1347

Mailing AddressPo Box 1559Stony Brook, NY 11790-0989 · (631) 878-8050

Phone(631) 878-8050

Sole ProprietorNo

Enumeration DateJune 12, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1689616773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 202778

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

492 MONTAUK HWY, East Moriches, NY 11940

Open in Google Maps ↗

Other Identifiers 3

Medicaid01753460NY

Other542891NY · Empire Bc.bs

Other5659533NY · Aetna

Other Providers at the Same Location NPPES 6

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

DR. STEVEN JOHN PESCE MD

Pediatrics