Kellie Demonte, M.S. SP.ED.
Specialist in Staten Island, NY. Individual provider (NPI-1).
NPI number1124451273
StatusActive
Last updated in NPPESAug 13, 2013
Details
- NPI
- 1124451273
- Entity type
- Individual (NPI-1)
- Name
- Kellie Demonte
- Credential
- M.S. SP.ED.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 13, 2013
- Last updated
- Aug 13, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 362234031 | NY | Yes |
Practice location
80 Woodrow RdStaten Island, NY 10312-1313
Phone 718-356-0008
Mailing address
149 David StStaten Island, NY 10308-3120
Phone 718-227-7317
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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