What is Kelly Marvullo's NPI number?

Kelly Marvullo's National Provider Identifier (NPI) is 1699022830, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kelly Marvullo's specialty?

Kelly Marvullo is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).

Where is Kelly Marvullo located?

Kelly Marvullo's practice location on file with NPPES is 43 Dorchester Road, Lake Ronkonkoma, NY 11779-1616.

What is Kelly Marvullo's phone number?

The practice phone number listed in the NPPES registry for Kelly Marvullo is (631) 278-2556.

Is Kelly Marvullo's NPI active?

Yes — Kelly Marvullo's NPI (1699022830) is active in the NPPES registry as of the last update on 2012-08-07.

IndividualActive

Kelly Marvullo

NPI 1699022830 · Specialist · Lake Ronkonkoma, NY

Kelly Marvullo is a Specialist provider in Lake Ronkonkoma, NY (NPI 1699022830).

Provider details

NPI number: 1699022830
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Sex: Female
Sole proprietor: No
License: 1135283 (NY)

Specialties & taxonomies

SpecialistPrimary174400000XLicense 1135283 (NY)
Other Service Providers

Profile Score

Detailed profile(79/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
13 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

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

43 Dorchester Road

Lake Ronkonkoma, NY 11779-1616

Phone: (631) 278-2556

Street-level locationGet directions

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Mailing address

43 Dorchester Rd