Individual provider Active NPI

Adam Kenney

  • Interventional Pain Medicine Physician
  • Newark, NJ
National Provider Identifier
1083956114
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
25MA10045700 Issued in NJ
Practice address
150 Bergen St
Newark, NJ 07103-2496
Phone
(973) 972-5128
Fax
(973) 972-6646
NPI assigned
Mar 27, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MA10045700 NJ
Interventional Pain Medicine Physician 208VP0014X 25MA10045700 NJ Primary

Addresses

Primary practice location

150 Bergen St
Newark, NJ 07103-2496

Mailing address

185 South Orange Avenue
MSB E-Level Room 609
Newark, NJ 07103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171229000813 NJ Practitioner - Emergency MedicinePractitioner - Pain Management 0446518187 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Partners of Englewood PCGroup PAC ID 1153572482, 94 clinicians

Practice addresses (Care Compare)

22 -02 Broadway
Suite 301
Fair Lawn, NJ 07410-3016
Phone (973) 321-2755

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA10045700NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Associates of New Jersey Inc Emergency Medicine CurrentSince Nov 11, 2017 Accepting new patients
Passaic River Physicians, LLC Emergency Medicine CurrentSince Oct 1, 2022 Accepting new patients
University Physician Associates of New Jersey Inc Emergency Medicine CurrentSince Nov 11, 2017 Accepting new patients
Physician Partners of Englewood, PC CurrentSince Jan 1, 2025 Accepting new patients
St. Joseph'S Healthcare, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Oct 1, 2022 Accepting new patients
St. Joseph'S Emergency Physicians Inc CurrentSince Oct 1, 2019 Accepting new patients
Valley Emergency Assoc PA Emergency Medicine CurrentSince Oct 20, 2022 Accepting new patients
Passaic River Physicians, LLC Emergency Medicine CurrentSince Oct 1, 2022 Accepting new patients

Locations

968 River Rd
Edgewater, NJ 07020
Phone (201) 224-8328

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

309 Engle St
Englewood, NJ 07631
Phone (201) 503-0447

309 Engle St
Ste 7
Englewood, NJ 07631
Phone (201) 487-7246

22-18 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (212) 524-7766

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056

30 Bergen St
Rm 1205
Newark, NJ 07107
Phone (973) 972-0037

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: akenney371845@direct.llu.edu

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1083956114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 SOUTH ORANGE AVENUE",
            "address_2": "MSB E-LEVEL ROOM 609",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BERGEN ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032496",
            "telephone_number": "973-972-5128",
            "fax_number": "973-972-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "ADAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-27",
        "last_updated": "2022-06-16",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA10045700",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA10045700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.