Individual provider Active NPI

Carolyn Kenney, APN

  • Family Nurse Practitioner
  • Belford, NJ
National Provider Identifier
1194271734
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00654200 Issued in NJ
Practice address
170 Oakes Ave
Belford, NJ 07718
Phone
(732) 500-8301
NPI assigned
Sep 1, 2016
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00654200 NJ Primary

Addresses

Primary practice location

170 Oakes Ave
Belford, NJ 07718

Mailing address

170 Oakes Ave
Belford, NJ 07718
Phone (732) 500-8301

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220517002334 NJ Practitioner - Nurse Practitioner 4385021195 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlas Senior Care LLCGroup PAC ID 4880198613, 11 clinicians
Atlas Medical Care,LLCGroup PAC ID 5597926659, 9 clinicians

Practice addresses (Care Compare)

1001 W Main St
Suite a
Freehold, NJ 07728-2579
Phone (732) 637-8444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
51.39 of 100Reported as group
Quality
64.84
Promoting interoperability
0
Improvement activities
0
Cost
73.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00654200NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Senior Care LLC CurrentSince Nov 1, 2025 Accepting new patients
Kane Wound Care LLC CurrentSince May 16, 2022 Accepting new patients
Atlas Medical Care,LLC CurrentSince May 17, 2025 Accepting new patients

Locations

1001 W Main St
Ste A
Freehold, NJ 07728
Phone (732) 354-3792

93 Manalapan Ave
Freehold, NJ 07728
Phone (732) 303-8800

100 Mazdabrook Rd
#One
Parsippany, NJ 07054
Phone (732) 841-9338

3626 US Highway 1
Princeton, NJ 08540
Phone (609) 243-0445

Organizations & group practices 3

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

Hospital & facility affiliations 3

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1194271734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 OAKES AVE",
            "city": "BELFORD",
            "state": "NJ",
            "postal_code": "07718",
            "telephone_number": "732-500-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 OAKES AVE",
            "city": "BELFORD",
            "state": "NJ",
            "postal_code": "07718",
            "telephone_number": "732-500-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "CAROLYN",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00654200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belford, NJ

Sources for this page

Verify at the official NPI Registry.