Andrew Kelly, PA-C
NPI 1104356377 · Medical Physician Assistant · New York, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Andrew Kelly, PA-C is a Medical Physician Assistant provider in New York, NY (NPI 1104356377).
Provider details
- NPI number
- 1104356377
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 024491 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 1345 6th AveNew York, NY 10105-0302Phone: (212) 913-0828
- 622 W 168th StNew York, NY 10032-3720Phone: (212) 305-6059
- 8835 Germantown AvePhiladelphia, PA 19118-2718Phone: (215) 687-7512
Registry dates
- Enumerated
- 2017-06-19
- Last updated
- 2024-03-07
- Certified
- 2024-03-07
Frequently asked questions
- What is Andrew Kelly's NPI number?
- Andrew Kelly's National Provider Identifier (NPI) is 1104356377, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andrew Kelly's specialty?
- Andrew Kelly is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Andrew Kelly located?
- Andrew Kelly's practice location on file with NPPES is 589 3rd Ave, New York, NY 10016-2711.
- What is Andrew Kelly's phone number?
- The practice phone number listed in the NPPES registry for Andrew Kelly is (212) 658-6791.
- Does Andrew Kelly accept Medicare?
- Andrew Kelly is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Andrew Kelly's NPI active?
- Yes — Andrew Kelly's NPI (1104356377) is active in the NPPES registry as of the last update on 2024-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.