Organization Active NPI

Kimberly Henderson MD PC

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1194455626
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Jun 5, 2026

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.