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

Mr. Raymond Joseph Kelly, PA-C

Individual provider Physician Assistant · NPI 1376038695

Mr. Raymond Joseph Kelly, PA-C is a Physician Assistant in East Hills, New York. Qualified in 2018, 8 years ago. Practices with Samaritan Medical Services PC, a 336-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2200 Northern Blvd Ste 121
East Hills, NY 11548-1220
Phone: (516) 705-1044
Show map & directions

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

Additional practice locations (2)

  • 260 E 66th St Fl 1, New York, NY 10065-9196 — (646) 293-7500
  • 100 Port Washington Blvd, Roslyn, NY 11576-1347 — (516) 562-6000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 022111 (NY)

Record details

NPI number1376038695
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 28, 2018
Last updated in NPPESJuly 24, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Samaritan Medical Services Pc — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare