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

Kelly Jia, MD

Individual provider Cardiovascular Disease Physician · NPI 1477948230

Kelly Jia, MD is a Cardiac Electrophysiology in New York, New York. Qualified in 2015, 11 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 E 77th St 2 Lachman
New York, NY 10075-1850
Phone: (212) 434-6500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2050 Kenny Rd Ste 2400, Columbus, OH 43221-3502 — (614) 685-6975
  • 500 University Dr, Hershey, PA 17033-2360 — (717) 531-1368

Specialties & licences

Clinical Cardiac Electrophysiology Physician (primary) Taxonomy 207RC0001X · Licence 330478 (NY)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 330478 (NY)

Record details

NPI number1477948230
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2015
Last updated in NPPESAugust 12, 2024
Certification dateAugust 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIAC ELECTROPHYSIOLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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