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

Mr. John P Kelly, RPA

Individual provider Medical Physician Assistant · NPI 1558704775

Mr. John P Kelly, RPA is a Medical Physician Assistant in Massapequa, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013

Practice location Address checks out

515 Broadway
Massapequa, NY 11758-5005
Phone: (516) 799-2700
Fax: (516) 799-8023
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 007491 (NY)

Record details

NPI number1558704775
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA
Sole proprietorNo
NPI enumeratedApril 8, 2013
Last updated in NPPESApril 8, 2013

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