Claudette Kenly, NP

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

004114 Issued in NY

Practice address

1624 E 14TH St
Brooklyn, NY 11229-1104

Phone

(718) 376-2220

Fax

(718) 376-3226

NPI assigned

Jun 8, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Nurse Practitioner, Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: claudette.kenly.1@19689.direct.athenahealth.com

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.

• Betsy Lantner MD OBGYN PLLC

  • Obstetrics & Gynecology Physician
  • Hewlett, NY
  • NPI 1750945614
  Medicare reassignment
• MMC OB-GYN Faculty Practice Plan

  • Specialist
  • Brooklyn, NY
  • NPI 1306843388
  Medicare reassignment

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1649564493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291104",
            "telephone_number": "718-376-2220",
            "fax_number": "718-376-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291104",
            "telephone_number": "718-376-2220",
            "fax_number": "718-376-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENLY",
        "first_name": "CLAUDETTE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "004114",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "004114",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Sue Keness, P.T.
• Marina Kenigel, M.S., SLP/TSSLD
• Eugene Kenigsberg, D.D.S.
• Galina Kenigsberg
• Yana Kenigsberg, NP
• Kenmar Surgical AIDS, Inc.
• Kenmar Surgical AIDS, Inc.
• Diana Kennedo, LPN
• Helena Maria Kennedy Collin I, MD
• Andrea Rosemarie Kennedy-Drysdale, RN

• Physician Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.