Active NPIIndividual providerSole proprietor

Nicole M Kennedy, PNP

Urology, Pediatric Urology in New York, New York

NPI Number1093405870
Practice location
5 E 98TH St, New York, NY 10029-6501
Fax
—
Last updated
May 15, 2023

Nicole Marie Kennedy is an Urology, Pediatric Urology based in New York, NY. Nicole Marie Kennedy practices in New York, NY and has the professional credentials of PNP. The NPI Number for Nicole Marie Kennedy is 1093405870 and holds a License No. 383523 (NY). The current practice location address for Nicole Marie Kennedy is 5 E 98TH St, New York, NY 10029-6501 and can be reached out via phone at 212-241-7640.

Provider Profile Details

NPI Number
1093405870
Provider Name
Nicole Marie Kennedy
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
5 E 98TH St, New York, NY 10029-6501
Phone Number
212-241-7640
Primary Taxonomy
Urology, Pediatric Urology · 2088P0231X
Sole Proprietor
Yes
Provider Enumeration Date
May 15, 2023
Last Update Date
May 15, 2023
Certification Date
May 14, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 E 98TH St
New York, NY 10029-6501
Zip
10029-6501
Phone Number
212-241-7640
New York, NY 10029Get directions →

Provider Business Mailing Address Details

Address
17 Mallard Dr
Greenwich, CT 06830-6707
City
Greenwich
State
CT
Zip
06830-6707
Phone Number
203-651-9178

License Information

License Number
383523
License State
NY
Taxonomy
Urology, Pediatric Urology · 2088P0231X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicole M Kennedy, PNP?

The NPI number of Nicole M Kennedy, PNP is 1093405870. It was assigned on May 15, 2023 and is currently active in the NPPES registry.

What is the specialty of Nicole M Kennedy, PNP?

Nicole M Kennedy, PNP is registered under the primary taxonomy Urology, Pediatric Urology (code 2088P0231X), licensed in NY under license number 383523.

Where does Nicole M Kennedy, PNP practice?

The practice location is 5 E 98TH St, New York, NY 10029-6501. The office can be reached at 212-241-7640 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093405870 directly on the NPPES registry website.

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