NPIMap

Organization Active NPI

Preventive Lifestyle Assistance Network Marci Kenon Sole MBR

  • Prevention Professional
  • New York, NY
National Provider Identifier
1730716937
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prevention ProfessionalTaxonomy code 405300000X
Legal business name
PREVENTIVE LIFESTYLE ASSISTANCE NETWORK MARCI KENON SOLE MBR
Practice address
101 W 123Rd St
New York, NY 10027-5511
Phone
(212) 662-5536
NPI assigned
Mar 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Authorized official

Name
Marci KenonNPI 1982235727
Title
Founder/DPP Certified Coach
Phone
(646) 389-0063

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prevention ProfessionalGroup: 193400000X SINGLE SPECIALTY GROUP 405300000X Primary

Addresses

Primary practice location

101 W 123Rd St
New York, NY 10027-5511

Mailing address

1309 5TH Ave Apt 25E
New York, NY 10029-3127
Phone (646) 389-0063

Other names 1

  • Preventive Lifestyle Assistance Network (PLAN) Other name

National Provider Directory

National Provider Directory

Locations

101 W 123rd St
New York, NY 10027
Phone (212) 662-5536

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1730716937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 5TH AVE APT 25E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293127",
            "telephone_number": "646-389-0063",
            "fax_number": "479-777-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 123RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100275511",
            "telephone_number": "212-662-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE LIFESTYLE ASSISTANCE NETWORK MARCI KENON SOLE MBR",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "KENON",
        "authorized_official_first_name": "MARCI",
        "authorized_official_title_or_position": "FOUNDER/DPP CERTIFIED COACH",
        "authorized_official_telephone_number": "646-389-0063"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preventive Lifestyle Assistance Network (PLAN)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.