Active NPI
Madeline Kenler
- Family Nurse Practitioner
- New York, NY
National Provider Identifier
1770197568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F346896
- Practice address
- 255 E Houston St
New York, NY 10002-1013 - Phone
- (212) 477-1120
- Fax
- (212) 477-8957
- NPI assigned
- Aug 31, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 800683 | NY | |
| Family Nurse Practitioner | 363LF0000X | F346896 | NY | Primary |
Addresses
Primary practice location
255 E Houston St
New York, NY 10002-1013
Mailing address
60 Madison Ave FL 5
New York, NY 10010-1600
Other practice location 1
150 Essex St
New York, NY 10002-2301
Phone (212) 477-1120
Other practice location 2
81 W 115th St
New York, NY 10026-3138
Phone (212) 426-0088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 800683 | NY | MD | Registered Nurse |
| F346896 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1770197568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 MADISON AVE FL 5",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100101600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 E HOUSTON ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100021013",
"telephone_number": "212-477-1120",
"fax_number": "212-477-8957"
}
],
"practiceLocations": [
{
"address_1": "150 Essex St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100022301",
"country_code": "US",
"telephone_number": "212-477-1120",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "81 W 115th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100263138",
"country_code": "US",
"telephone_number": "212-426-0088",
"fax_number": "212-426-8367",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENLER",
"first_name": "MADELINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-31",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "800683",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F346896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.