DR. KELLY KIM LY MD
NPI 1801914742
Pediatrics - Adolescent Medicine in New York, NY

Q: What is Kelly Ly's NPI number?

The NPI number for Kelly Ly is 1801914742. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Q: What is Kelly Ly's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Ly was last updated on July 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since March 27, 2007PECOS Enrolled

227 MADISON ST, PEDIATRICS DEPT, NEW YORK, NY 10002(212) 238-7260(212) 238-7799 Get Directions Write a Review

NPPES record last updated: July 12, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Kelly Kim Ly Md NPPES

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

DR. KELLY KIM LY MD (NPI 1801914742) is an individual adolescent medicine provider in New York, New York, licensed in New York (224534) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801914742

Entity TypeIndividualFemale

Primary Taxonomy2080A0000X

Provider Legal NameDR. KELLY KIM LYCredential: MD

Location Address227 MADISON ST, PEDIATRICS DEPTNew York, NY 10002-7537

Mailing Address227 Madison St, Pediatrics DeptNew York, NY 10002-7537 · (212) 238-7260 · Fax (212) 238-7799

Phone(212) 238-7260

Fax(212) 238-7799

Sole ProprietorYes

Enumeration DateMarch 27, 2007

Last NPPES UpdateJuly 12, 2011

✔ NPI 1801914742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

Licenses✔ Licensed in NY · 224534✔ Licensed in NJ · 25MA07959400

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

227 MADISON ST, New York, NY 10002

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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)

Dr. Kelly Kim Ly Md 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.

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.

MEREDITH A WRIGHT M.S., CCC-SLP

Speech-Language Pathologist

227 MADISON ST
NEW YORK, NY 10002

New York County (212) 238-5025

DR. PATRICIA PATRICIA NEIL DDS

Dentist

227 MADISON ST, MEDICAL STAFF
NEW YORK, NY 10002

New York County (212) 238-7614

DR. EILEEN MARIE MILES M.D.

Pediatrics

227 MADISON ST
NEW YORK, NY 10002

New York County (212) 238-7614

MS. CONNIE WAH TAM OT

Occupational Therapist

227 MADISON ST, MEDICAL STAFF OFFICE, ROOM 1249
NEW YORK, NY 10002

New York County (212) 238-7614

BENNY RIGOBERTO GUILLERMO NP

Nurse Practitioner

227 MADISON ST
NEW YORK, NY 10002

New York County (212) 238-7680

DR. MIN XU MD

Internal Medicine

227 MADISON ST
NEW YORK, NY 10002

New York County (212) 238-7409

MS. YUEN FAN WONG LCSW

Social Worker (Clinical)

227 MADISON ST
NEW YORK, NY 10002

New York County (212) 238-7897

DR. JAMES AUSTIN SCHMIDTBERGER MD

Internal Medicine

227 MADISON ST
NEW YORK, NY 10002

New York County (212) 238-8176

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 Ly's NPI number?

The NPI number for Kelly Ly is 1801914742. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Where is Kelly Ly located?

Kelly Ly practices at 227 Madison St Pediatrics Dept, New York, NY 10002. The listed phone number is (212) 238-7260.

What is Kelly Ly's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Kelly Ly enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelly Ly was last updated on July 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.