Robert A Kenul, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X004534-1 Issued in NY

Practice address

987 N Ocean Ave
Medford, NY 11763-3532

Phone

(631) 758-6262

Fax

(631) 758-1660

NPI assigned

Mar 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kenul Chiropractic PLLC

  • Chiropractor
  • Medford, NY
  • NPI 1720604127
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284076800000",
    "number": "1649398389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 N OCEAN AVE",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117633532",
            "telephone_number": "631-758-6262",
            "fax_number": "631-758-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 N OCEAN AVE",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117633532",
            "telephone_number": "631-758-6262",
            "fax_number": "631-758-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENUL",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2010-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X004534-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX I.D. NUMBER",
            "identifier": "11-2967495",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eveleine Louise Kennedy, RN
• Melisssa Ann Kennedy, BA, MS
• Elizabeth Jane Kenney, PNP
• Kenul Chiropractic PLLC
• Dillon Kenul, DC
• Tuba Khan
• Saima Sattar Khusbu
• Dana Meredith Kiefer, M.A. OTRL
• Tracey King
• Mary Kinney-Gibbons

• Chiropractor in Medford, NY
• Providers in Medford, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.