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MICHAELA ROSE KELLY CCC-SLP
NPI 1942081336
Speech-Language Pathologist in Seaford, NY

Active since October 11, 2023
3559 MERRICK RD, SEAFORD, NY 11783(516) 639-4021 Get Directions Write a Review

NPPES record last updated: November 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 14, 2023, Oct 11, 2023 (2 updates tracked since 2023).

About Michaela Rose Kelly Ccc-slp NPPES

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

MICHAELA ROSE KELLY CCC-SLP (NPI 1942081336) is an individual speech-language pathologist provider in Seaford, New York, licensed in New York (033366) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1942081336
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMICHAELA ROSE KELLYCredential: CCC-SLP
Location Address3559 MERRICK RDSeaford, NY 11783-2833
Mailing Address2316 Mattituck AveSeaford, NY 11783-3137 · (516) 456-9416
Phone(516) 639-4021
Sole ProprietorNo
Enumeration DateOctober 11, 2023
Last NPPES UpdateNovember 14, 20232 updates tracked since enumeration
NPPES CertifiedNovember 14, 2023
✔ NPI 1942081336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses✔ Licensed in NY · 033366✔ Licensed in TN · 7745
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
3559 MERRICK RD, Seaford, NY 11783
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michaela Rose Kelly Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Michaela Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Shore - Lij Medical PC
13 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 13

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

KAYLA MARIE SPILLER
Speech-Language Pathologist
3559 MERRICK RD
SEAFORD, NY 11783
Nassau County (516) 639-4021
OLIVIA MANGAN OTR/L
Occupational Therapist
3559 MERRICK RD
SEAFORD, NY 11783
Nassau County (516) 639-4021
JULIANA ROONEY CARSON
Speech-Language Pathologist
3559 MERRICK RD
SEAFORD, NY 11783
Nassau County (516) 639-4021
MORISSA CAMIOLO
Occupational Therapist
3559 MERRICK RD
SEAFORD, NY 11783
Nassau County (516) 639-4021
CAMRYN MARCUS OTR/L
Occupational Therapist
3559 MERRICK RD
SEAFORD, NY 11783
Nassau County (516) 639-4021
OT SENSORY STARS, PLLC
Occupational Therapist (Pediatrics)
3559 MERRICK RD
SEAFORD, NY 11783
Nassau County (631) 572-6919
MRS. LILLIAN ALEXANDRA ACKERMANN MA, CCC-SLP
Speech-Language Pathologist
3559 MERRICK RD
SEAFORD, NY 11783
Nassau County (516) 639-4021
MRS. TARA J DIFONDI M.A. CCC-SLP
Speech-Language Pathologist
3559 MERRICK RD
SEAFORD, NY 11783
Nassau County (516) 639-4021

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 Michaela Kelly's NPI number?

The NPI number for Michaela Kelly is 1942081336. It was assigned to this individual provider in the NPPES registry on October 11, 2023.

Where is Michaela Kelly located?

Michaela Kelly practices at 3559 Merrick Rd, Seaford, NY 11783. The listed phone number is (516) 639-4021.

What is Michaela Kelly's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Michaela Kelly enrolled in Medicare?

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

Which organization bills Medicare for Michaela Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michaela Kelly reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michaela Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michaela Kelly was last updated on November 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.