Active NPIIndividual providerSole proprietor

Dr. Paul V Kennedy, MD

Psychiatry & Neurology, Psychiatry in Montclair, New Jersey

NPI Number1194763904
Practice location
117 Watchung Ave, 2ND Floor, Montclair, NJ 07043-1710
Fax
973-783-5074
Last updated
August 19, 2010

Paul Vincent Kennedy is a Psychiatry & Neurology, Psychiatry based in Montclair, NJ. Paul Vincent Kennedy practices in Montclair, NJ and has the professional credentials of MD. The NPI Number for Paul Vincent Kennedy is 1194763904 and holds a License No. 38919 (NJ). The current practice location address for Paul Vincent Kennedy is 117 Watchung Ave, 2ND Floor, Montclair, NJ 07043-1710 and can be reached out via phone at 973-783-2984 and via fax at 973-783-5074.

Provider Profile Details

NPI Number
1194763904
Provider Name
Paul Vincent Kennedy
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
117 Watchung Ave, 2ND Floor, Montclair, NJ 07043-1710
Phone Number
973-783-2984
Fax Number
973-783-5074
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
Yes
Provider Enumeration Date
June 3, 2006
Last Update Date
August 19, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
117 Watchung Ave
2ND Floor
Montclair, NJ 07043-1710
Zip
07043-1710
Phone Number
973-783-2984
Fax Number
973-783-5074
Montclair, NJ 07043Get directions →

Provider Business Mailing Address Details

Address
5 Fairfield St
Montclair, NJ 07042-4113
City
Montclair
State
NJ
Zip
07042-4113
Phone Number
973-783-2984
Fax Number
973-783-5074

License Information

License Number (1)
38919
License State (1)
NJ
Taxonomy (1)
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
License Number (2)
38919
License State (2)
NJ

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 Dr. Paul V Kennedy, MD?

The NPI number of Dr. Paul V Kennedy, MD is 1194763904. It was assigned on June 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Paul V Kennedy, MD?

Dr. Paul V Kennedy, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in NJ under license number 38919.

Where does Dr. Paul V Kennedy, MD practice?

The practice location is 117 Watchung Ave, 2ND Floor, Montclair, NJ 07043-1710. The office can be reached at 973-783-2984 (phone) or 973-783-5074 (fax).

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 1194763904 directly on the NPPES registry website.

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