NICHOLAS KELLY
NPI 1902447915
Student in an Organized Health Care Education/Training Program in Bay Shore, NY

Q: What is Nicholas Kelly's NPI number?

The NPI number for Nicholas Kelly is 1902447915. It was assigned to this individual provider in the NPPES registry on October 1, 2019.

Q: What is Nicholas Kelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicholas Kelly was last updated on October 1, 2019. 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.

Active since October 01, 2019

1089 MANOR LN, BAY SHORE, NY 11706(631) 649-5834 Get Directions Write a Review

NPPES record last updated: October 1, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nicholas Kelly NPPES

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

NICHOLAS KELLY (NPI 1902447915) is an individual student in an organized health care education/training program in Bay Shore, New York and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1902447915

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameNICHOLAS KELLY

Location Address1089 MANOR LNBay Shore, NY 11706-6224

Mailing Address1089 Manor LnBay Shore, NY 11706-6224 · (631) 649-5834

Phone(631) 649-5834

Sole ProprietorYes

Enumeration DateOctober 1, 2019

✔ NPI 1902447915 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.

1089 MANOR LN, Bay Shore, NY 11706

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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 Nicholas Kelly's NPI number?

The NPI number for Nicholas Kelly is 1902447915. It was assigned to this individual provider in the NPPES registry on October 1, 2019.

Where is Nicholas Kelly located?

Nicholas Kelly practices at 1089 Manor Ln, Bay Shore, NY 11706. The listed phone number is (631) 649-5834.

What is Nicholas Kelly's specialty?

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

When was this NPI record last updated?

The NPPES record for Nicholas Kelly was last updated on October 1, 2019. 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.