Dean Kenney, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

005056 Issued in NY

Practice address

1011 W Beech St
Long Beach, NY 11561-1203

Phone

(516) 431-7600

NPI assigned

Feb 16, 2007

Last updated

Dec 9, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Beach & Surf Medical, PC

  • Family Medicine Physician
  • Long Beach, NY
  • NPI 1821183823
  NPD (past)
• Dr Christian Nahas D.O. P.C.

  • Family Medicine Physician
  • Island Park, NY
  • NPI 1477735124
  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1568506558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CALIFORNIA PL S",
            "city": "ISLAND PARK",
            "state": "NY",
            "postal_code": "115582216",
            "telephone_number": "516-431-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W BEECH ST",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115611203",
            "telephone_number": "516-431-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "DEAN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "005056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniella Kaufman
• Bailey Kaye, LMSW
• Megan Jeanne Kearney, B.S SP. ED.
• Ilana Golda Keehn, LCSW
• Lynn Kelly
• William J Kent
• Kenisha Kidd-Albright
• Kelly Kiernan, M.S.ED.
• Sarah Eun Kim, D.P.M
• Jeanne King

• Medical Physician Assistant in Long Beach, NY
• Providers in Long Beach, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.