MS. KELLIE KOLESSAR PA-C
NPI 1821604778
Physician Assistant in New York, NY

Active since September 16, 2020
622 W 168TH ST, NEW YORK, NY 10032(877) 426-5637 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kellie Kolessar Pa-c NPPES

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

MS. KELLIE KOLESSAR PA-C (NPI 1821604778) is an individual physician assistant in New York, New York and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1821604778
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. KELLIE KOLESSARCredential: PA-C
Location Address622 W 168TH STNew York, NY 10032-3720
Mailing Address108 Moreland StStaten Island, NY 10306-5145
Sole ProprietorNo
Enumeration DateSeptember 16, 2020
NPPES CertifiedSeptember 16, 2020
NPI 1821604778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
622 W 168TH ST, New York, NY 10032

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.

Internal Medicine (Nephrology)
622 W 168TH ST, PH4-124
NEW YORK, NY 10032
Internal Medicine
622 W 168TH ST
NEW YORK, NY 10032
Nurse Practitioner (Adult Health)
622 W 168TH ST
NEW YORK, NY 10032
Emergency Medicine
622 W 168TH ST
NEW YORK, NY 10032
Pharmacist
622 W 168TH ST
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032

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 Kellie Kolessar's NPI number?

The NPI number for Kellie Kolessar is 1821604778. It was assigned to this individual provider in the NPPES registry on September 16, 2020.

Where is Kellie Kolessar located?

Kellie Kolessar practices at 622 W 168th St, New York, NY 10032. The listed phone number is (877) 426-5637.

What is Kellie Kolessar'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 Kellie Kolessar was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.