Kenneth C Pruyn Jr

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

KENNETH C PRUYN JR

Practice address

35 Armstrong CT
Bridgewater, MA 02324-2283

Phone

(800) 652-6683

Fax

(508) 697-5015

NPI assigned

Dec 21, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth C Pruyn Jr.

Title

President

Phone

(800) 652-6683

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• New England Mobility Doing business as

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1740266899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 ARMSTRONG CT",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023242283",
            "telephone_number": "800-652-6683",
            "fax_number": "508-697-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 ARMSTRONG CT",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023242283",
            "telephone_number": "800-652-6683",
            "fax_number": "508-697-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH C PRUYN JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "PRUYN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-652-6683",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER",
            "identifier": "316454",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538136",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New England Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kerri Ann Kane, PSY.D.
• Michaela Janet Louise Kane
• Brendan Keane
• Karlie Rose Keating
• Jalena Camille Keith, FNP-BC
• Meaghan Rose Kenney
• Alison Elise Kern
• Fred D. Kern, MD
• Khalid N Khan, M.D.
• Despina Kiely

• Customized Equipment (DME) in Bridgewater, MA
• Providers in Bridgewater, MA by specialty
• Customized Equipment (DME) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.