Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kieran Donnelly, PA-C

Individual provider Physician Assistant · NPI 1922646066

Kieran Donnelly, PA-C is a Physician Assistant in Far Rockaway, New York. Qualified in 2021, 5 years ago. Practices with Community Medical Wellness PC, a 22-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

327 Beach 19th St
Far Rockaway, NY 11691-4423
Phone: (718) 869-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 37 Trask Ln, Babylon, NY 11702-4006 — (631) 848-4181

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 026996 (NY)

Record details

NPI number1922646066
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 19, 2019
Last updated in NPPESAugust 18, 2021
Certification dateAugust 18, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Community Medical Wellness Pc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Far Rockaway