Individual provider Active NPI

Angel L Kerney, M.D.,

  • Obstetrics & Gynecology Physician
  • Utica, NY
National Provider Identifier
1346290749
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
195891 Issued in NY
Practice address
1656 Champlin Ave
Utica, NY 13502-4830
Phone
(315) 624-6241
Fax
(315) 624-6955
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 195891 NY Primary

Addresses

Primary practice location

1656 Champlin Ave
Utica, NY 13502-4830

Mailing address

2209 Genesee St
Business Office
Utica, NY 13501-5930
Phone (315) 801-3282

Other identifiers 3

IdentifierTypeStateIssuer
0005789575OtherNYAETNA
102777CKOtherNYPREFERRED CARE
P010195891OtherNYEXCELLUS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110629000318 NY Practitioner - Obstetrics/Gynecology 6901084631 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
195891NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women2Women Obstetrics and Gynecology, LLC Obstetrics & Gynecology CurrentSince Sep 27, 2020 Accepting new patients
MVHS Inc CurrentSince Sep 1, 2012 Accepting new patients
Our Lady of Lourdes Memorial Hospital Inc. CurrentSince Apr 1, 2022 Accepting new patients
MVHS Inc CurrentSince Sep 1, 2012 Accepting new patients
Comprehensive Womens Health Care by Dhruv Agneshwar MD PC Obstetrics & Gynecology CurrentSince Apr 5, 2022 Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. Obstetrics & Gynecology Current Accepting new patients
Womens OBGYN PC Obstetrics & Gynecology CurrentSince Apr 21, 2018 Accepting new patients
OBGYN Hospitalist Medical Services of New York, P.C. Obstetrics & Gynecology CurrentSince Mar 26, 2018 Accepting new patients
Obstetrical-Gynecological Associates of the Southern Tier, P.C. Obstetrics & Gynecology Current Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince Apr 1, 2022 Accepting new patients
New York Physician Consultant Solutions PC Past Accepting new patients

Locations

161 Riverside Dr
Ste 109
Binghamton, NY 13905
Phone (607) 770-7074

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701

401 Main St
Ste 1
Johnson City, NY 13790
Phone (607) 754-9870

355 Main St
Johnson City, NY 13790
Phone (607) 798-1602

180 Harry L Dr
Johnson City, NY 13790
Phone (607) 417-0500

2210 Troy Schenectady Rd
Schenectady, NY 12309
Phone (518) 346-6400

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

1656 Champlin Ave
Utica, NY 13502
Phone (315) 624-6241

2209 Genesee St
Ofc
Utica, NY 13501
Phone (315) 801-3282

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1346290749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 GENESEE ST",
            "address_2": "BUSINESS OFFICE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015930",
            "telephone_number": "315-801-3282",
            "fax_number": "315-801-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 CHAMPLIN AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024830",
            "telephone_number": "315-624-6241",
            "fax_number": "315-624-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERNEY",
        "first_name": "ANGEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "195891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005789575",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "102777CK",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS",
            "identifier": "P010195891",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.