Active NPI
Daniele J. Kenny, M.D., PC
- Adult Medicine Physician
- Selden, NY
National Provider Identifier
1003129149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- Legal business name
- DANIELE J. KENNY, M.D., PC
- Practice address
- 1312 Middle Country Rd
Selden, NY 11784-2514 - Phone
- (631) 698-6556
- Fax
- (631) 698-1021
- NPI assigned
- Jul 19, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniele J Kenny, MD
- Title
- President
- Phone
- (631) 698-6556
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | Primary |
Addresses
Primary practice location
1312 Middle Country Rd
Selden, NY 11784-2514
Mailing address
1312 Middle Country Rd
Selden, NY 11784-2514
Phone (631) 698-6556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
565 Route 25A
Ste 101
Miller Place, NY 11764
Phone (631) 731-1836
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Selden, NY
- NPI 1396712006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279497600000",
"number": "1003129149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1312 MIDDLE COUNTRY RD",
"city": "SELDEN",
"state": "NY",
"postal_code": "117842514",
"telephone_number": "631-698-6556",
"fax_number": "631-698-1021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1312 MIDDLE COUNTRY RD",
"city": "SELDEN",
"state": "NY",
"postal_code": "117842514",
"telephone_number": "631-698-6556",
"fax_number": "631-698-1021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIELE J. KENNY, M.D., PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-19",
"last_updated": "2010-07-19",
"status": "A",
"authorized_official_last_name": "KENNY",
"authorized_official_first_name": "DANIELE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-698-6556",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Selden, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.