Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Jane Nasiatka

Individual provider Audiologist · NPI 1790450617

Kelly Jane Nasiatka is an Audiologist in Bronx, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2021
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Practice location Address checks out

1065 Southern Blvd
Bronx, NY 10459-2417
Phone: (718) 589-2440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6700 Washington Ave S, Eden Prairie, MN 55344-3405 — (516) 785-3292

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 003053 (NY)

Record details

NPI number1790450617
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 12, 2021
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026

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