NPIMap

Individual provider Active NPI

Joseph P Kenniff, PA-C

  • Physician Assistant
  • East Stroudsburg, PA
National Provider Identifier
1659548634
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA066412 Issued in PA
Practice address
235 E Brown St Ste 302
East Stroudsburg, PA 18301-3013
Phone
(732) 616-3846
NPI assigned
May 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA066412 PA Primary
Physician Assistant 363A00000X 012278 NY
Physician Assistant 363A00000X OA007192 PA

Addresses

Primary practice location

235 E Brown St Ste 302
East Stroudsburg, PA 18301-3013

Mailing address

235 E Brown St Ste 302
East Stroudsburg, PA 18301-3013
Phone (732) 616-3846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250423002975 PA Practitioner - Physician Assistant 5294031274 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

100 St Lukes LN
Stroudsburg, PA 18360-6217
Phone (484) 526-2200

100 St Lukes Way
Stroudsburg, PA 18360-6217
Phone (272) 212-1000

235 E Brown St
Stroudsburg, PA 18301-3013
Phone (570) 645-1830

516 Jenna Dr
Brodheadsville, PA 18322-7141
Phone (272) 212-4000

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

  • St Luke'S Hospital - Monroe Campus Hospital, Stroudsburg, PA, CCN 390330
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • St Luke'S Hospital - Easton Campus Hospital, Easton, PA, CCN 390162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
012278NYMDSpeech-Language Pathologist
MA066412PAMDPhysician Assistant
OA007192PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group, Inc. CurrentSince Jun 9, 2025 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jun 9, 2025 Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

516 Jenna Dr
Brodheadsville, PA 18322
Phone (272) 212-4000

235 E Brown St
Ste 302
East Stroudsburg, PA 18301
Phone (272) 212-4000

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

Interoperability endpoints

  • Direct secure messaging: jkenniff343027@direct-sluhn.org

Organizations & group practices 5

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1659548634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E BROWN ST STE 302",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013013",
            "telephone_number": "732-616-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E BROWN ST STE 302",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013013",
            "telephone_number": "732-616-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNIFF",
        "first_name": "JOSEPH",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-09",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA066412",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "012278",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA007192",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.