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MS. JACQUELINE ALLISON KIELTY P.A
NPI 1912122136
Physician Assistant - Medical in Glen Cove, NY

Active since April 14, 2007
104 FOREST AVE, GLEN COVE, NY 11542(516) 759-5406 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Jacqueline Allison Kielty P.a NPPES

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

MS. JACQUELINE ALLISON KIELTY P.A (NPI 1912122136) is an individual medical provider in Glen Cove, New York, licensed in New York (011007) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1912122136
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. JACQUELINE ALLISON KIELTYCredential: P.A
Location Address104 FOREST AVEGlen Cove, NY 11542-2015
Mailing Address36 Cocks LnLocust Valley, NY 11560-2313 · (516) 801-2571
Phone(516) 759-5406
Sole ProprietorNo
Enumeration DateApril 14, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1912122136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 011007
104 FOREST AVE, Glen Cove, NY 11542
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Other Providers at the Same Location NPPES 8

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

JACLYN TERESCO PA
Physician Assistant (Medical)
104 FOREST AVE
GLEN COVE, NY 11542
Nassau County (516) 759-5406
KAITLYN KRAUSE
Physician Assistant (Medical)
104 FOREST AVE
GLEN COVE, NY 11542
Nassau County (516) 759-5406
RUSSELL H SAMUEL MD
General Practice
104 FOREST AVE
GLEN COVE, NY 11542
Nassau County (516) 759-5406
JENNIFER D ROTH PA
Physician Assistant
104 FOREST AVE
GLEN COVE, NY 11542
Nassau County (516) 759-5406
MEDSTATION
Clinic/Center (Urgent Care)
104 FOREST AVE
GLEN COVE, NY 11542
Nassau County (516) 759-5406
YASMIN NUNEZ P.A.
Physician Assistant (Medical)
104 FOREST AVE
GLEN COVE, NY 11542
Nassau County (516) 676-2904
DR. DEBBIE FELICIANO MD
Family Medicine
104 FOREST AVE
GLEN COVE, NY 11542
Nassau County (516) 759-5406
THE MED STATION PC
Internal Medicine
104 FOREST AVE
GLEN COVE, NY 11542
Nassau County (516) 759-5406

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 Jacqueline Kielty's NPI number?

The NPI number for Jacqueline Kielty is 1912122136. It was assigned to this individual provider in the NPPES registry on April 14, 2007.

Where is Jacqueline Kielty located?

Jacqueline Kielty practices at 104 Forest Ave, Glen Cove, NY 11542. The listed phone number is (516) 759-5406.

What is Jacqueline Kielty's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Jacqueline Kielty was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.