Jennifer Eileen Kelly — NPI 1396386744
Jennifer Eileen Kelly’s National Provider Identifier is 1396386744. NPPES classifies this as a Type 1 individual record and reports a practice location in Ronkonkoma, New York. The primary taxonomy is Specialist.
Key facts
- NPI
- 1396386744
- Entity type
- Type 1 individual
- NPPES status
- Active in the August 10, 2026 snapshot
- Practice location
- 2354 OCEAN AVE
Ronkonkoma, New York 11779 - Practice telephone
- (516) 698-9476
- Primary taxonomy
- Specialist
- Additional taxonomies
-
- Student in an Organized Health Care Education/Training Program
- Enumeration date
- October 7, 2019
- NPPES last update
- October 13, 2020
- Source
- CMS NPPES, NPPES Data Dissemination August 2026 V2
Questions answered by the NPPES record
What is the NPI for Jennifer Eileen Kelly?
The NPI listed for Jennifer Eileen Kelly in the NPPES snapshot is 1396386744. The number passes the NPI check-digit test and is recorded as active in that snapshot.
Is NPI 1396386744 an individual or organization record?
NPPES records NPI 1396386744 as an Entity Type 1 record, which CMS assigns to an individual health care provider.
Where is the reported practice location?
The primary practice location reported to NPPES is 2354 OCEAN AVE, Ronkonkoma, New York 11779.
What taxonomy codes are listed for this NPI?
2 taxonomy codes are listed. Primary: Specialist (174400000X). Additional: Student in an Organized Health Care Education/Training Program (390200000X). Names come from the NUCC Health Care Provider Taxonomy code set version 26.1; definitions are not reproduced.
When was the NPPES record last updated?
NPPES reports a last update date of October 13, 2020 and an enumeration date of October 7, 2019, as published in NPPES Data Dissemination August 2026 V2.
Source and data date
All facts on this page come from the Centers for Medicare & Medicaid Services (CMS) NPPES data dissemination file NPPES Data Dissemination August 2026 V2, released August 10, 2026 (snapshot date 2026-08-10). The record was reproduced from the main provider file without edits; only the fields listed on the methodology page are published.
CMS updates NPPES continuously and this page reflects a single monthly snapshot. Confirm current details in the official NPPES NPI Registry.
Directory pages
This profile is listed on the Ronkonkoma, New York NPI directory and the New York NPI directory.
Other published profiles in Ronkonkoma, NY
Up to ten other profiles this site publishes for Ronkonkoma, listed alphabetically. Appearing together here indicates only a shared reported practice city, not any affiliation or relationship. The city page lists all 42 published profiles.
Independent service disclaimer
This directory is an independent, experimental publication of public NPPES fields. It is not affiliated with or endorsed by CMS, NPPES, Medicare, the American Medical Association, or the National Uniform Claim Committee. An NPI is an administrative identifier. Its presence here does not establish that a provider is licensed, credentialed, board certified, in good standing, accepting patients or insurance, employed by or affiliated with any organization, or currently practicing. Nothing on this page is medical, legal, or insurance advice.