Active NPIIndividual providerSole proprietor

Jessica Kennedy

Internal Medicine in Harrison, New York

NPI Number1093456865
Practice location
450 Mamaroneck Ave Ste 200, Harrison, NY 10528-2430
Fax
—
Last updated
October 15, 2025

Jessica Kennedy is an Internal Medicine based in Harrison, NY. Jessica Kennedy practices in Harrison, NY. The NPI Number for Jessica Kennedy is 1093456865 and holds a License No. 340370 (NY). The current practice location address for Jessica Kennedy is 450 Mamaroneck Ave Ste 200, Harrison, NY 10528-2430 and can be reached out via phone at 191-455-6496.

Provider Profile Details

NPI Number
1093456865
Provider Name
Jessica Kennedy
Provider Entity Type
Individual
Gender
Female
Address
450 Mamaroneck Ave Ste 200, Harrison, NY 10528-2430
Phone Number
191-455-6496
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 5, 2022
Last Update Date
October 15, 2025
Certification Date
October 15, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
450 Mamaroneck Ave Ste 200
Harrison, NY 10528-2430
Zip
10528-2430
Phone Number
191-455-6496
Harrison, NY 10528Get directions →

Provider Business Mailing Address Details

Address
620 Pelhamdale Ave Apt 33
Pelham, NY 10803-2817
City
Pelham
State
NY
Zip
10803-2817

License Information

License Number
340370
License State
NY
Taxonomy
Internal Medicine · 207R00000X · 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 Jessica Kennedy?

The NPI number of Jessica Kennedy is 1093456865. It was assigned on April 5, 2022 and is currently active in the NPPES registry.

What is the specialty of Jessica Kennedy?

Jessica Kennedy is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NY under license number 340370.

Where does Jessica Kennedy practice?

The practice location is 450 Mamaroneck Ave Ste 200, Harrison, NY 10528-2430. The office can be reached at 191-455-6496 (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 1093456865 directly on the NPPES registry website.

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