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KELLY IEONG
NPI 1720611130
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Active since February 14, 2020PECOS Enrolled
101 NICHOLLS RD UROLOGY DEPARTMENT 9/F, STONY BROOK, NY 11794(631) 444-1910 Get Directions Write a Review

NPPES record last updated: February 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Ieong NPPES

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

KELLY IEONG (NPI 1720611130) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720611130
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELLY IEONG
Location Address101 NICHOLLS RD UROLOGY DEPARTMENT 9/FStony Brook, NY 11794-0001
Mailing Address101 Nicholls Rd Urology Department 9/fStony Brook, NY 11794-0001
Phone(631) 444-1910
Sole ProprietorNo
Enumeration DateFebruary 14, 2020
✔ NPI 1720611130 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.
101 NICHOLLS RD UROLOGY DEPARTMENT 9/F, Stony Brook, NY 11794
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Ieong is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Ieong's NPI number?

The NPI number for Kelly Ieong is 1720611130. It was assigned to this individual provider in the NPPES registry on February 14, 2020.

Where is Kelly Ieong located?

Kelly Ieong practices at 101 Nicholls Rd Urology Department 9/F, Stony Brook, NY 11794. The listed phone number is (631) 444-1910.

What is Kelly Ieong's specialty?

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

Is Kelly Ieong enrolled in Medicare?

Yes. Kelly Ieong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Ieong was last updated on February 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.