Active NPI
Kimberly Henderson MD PC
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1194455626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- KIMBERLY HENDERSON MD PC
- Practice address
- 80 Warren St Apt 32
New York, NY 10007-1038 - Phone
- (862) 423-3000
- NPI assigned
- Jun 16, 2022
- 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
- Devion Smith
- Title
- Director, Payer Contracting
- Phone
- (424) 326-8711
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
80 Warren St Apt 32
New York, NY 10007-1038
Mailing address
33 Arch St FL 17
Boston, MA 02110-1424
National Provider Directory
National Provider DirectoryLocations
3 Computer Dr W
Ste 126-4
Albany, NY 12205
3 Computer Dr W
Ste 12604
Albany, NY 12205
Phone (857) 557-5777
3 Computer Dr W
#12604
Albany, NY 12205
3 Computer Dr W
Colonie, NY 12205
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acute Care Nurse Practitioner
- New York, NY
- NPI 1326395443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655337600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780617600000",
"number": "1194455626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 ARCH ST FL 17",
"city": "BOSTON",
"state": "MA",
"postal_code": "021101424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 WARREN ST APT 32",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100071038",
"telephone_number": "862-423-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIMBERLY HENDERSON MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-16",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "DEVION",
"authorized_official_title_or_position": "DIRECTOR, PAYER CONTRACTING",
"authorized_official_telephone_number": "424-326-8711"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.