Active NPIIndividual provider

Mary Kenyon

Nurse Practitioner, Pediatrics in Raritan, New Jersey

NPI Number1821885112
Practice location
575 Route 28, Raritan, NJ 08869-1354
Fax
—
Last updated
April 22, 2025

Mary Kenyon is a Nurse Practitioner, Pediatrics based in Raritan, NJ. Mary Kenyon practices in Raritan, NJ. The NPI Number for Mary Kenyon is 1821885112 and holds a License No. 26NJ15318700 (NJ). The current practice location address for Mary Kenyon is 575 Route 28, Raritan, NJ 08869-1354 and can be reached out via phone at 908-725-5530.

Provider Profile Details

NPI Number
1821885112
Provider Name
Mary Kenyon
Provider Entity Type
Individual
Gender
Female
Address
575 Route 28, Raritan, NJ 08869-1354
Phone Number
908-725-5530
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
No
Provider Enumeration Date
April 22, 2025
Last Update Date
April 22, 2025
Certification Date
April 21, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
575 Route 28
Raritan, NJ 08869-1354
Zip
08869-1354
Phone Number
908-725-5530
Raritan, NJ 08869Get directions →

Provider Business Mailing Address Details

Address
16 Old Mine RD
Lebanon, NJ 08833-4540
City
Lebanon
State
NJ
Zip
08833-4540
Phone Number
908-255-6049

License Information

License Number
26NJ15318700
License State
NJ
Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X · 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 Mary Kenyon?

The NPI number of Mary Kenyon is 1821885112. It was assigned on April 22, 2025 and is currently active in the NPPES registry.

What is the specialty of Mary Kenyon?

Mary Kenyon is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in NJ under license number 26NJ15318700.

Where does Mary Kenyon practice?

The practice location is 575 Route 28, Raritan, NJ 08869-1354. The office can be reached at 908-725-5530 (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 1821885112 directly on the NPPES registry website.

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