Individual provider Active NPI

Mark F Kenny, CPO

  • Prosthetics Case Management
  • Dobbs Ferry, NY
National Provider Identifier
1790789196
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
02200 Issued in NY
Practice address
66 Main St
Dobbs Ferry, NY 10522-2159
Phone
(914) 479-0743
Fax
(914) 479-1568
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X 02200 NY Primary

Addresses

Primary practice location

66 Main St
Dobbs Ferry, NY 10522-2159

Mailing address

66 Main St
Dobbs Ferry, NY 10522-2159
Phone (914) 479-0743

Other identifiers 1

IdentifierTypeStateIssuer
02215167MedicaidNY

Other names 1

  • Mr. Anthony J Squicciarini Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
02200NYMDProsthetics Case Management

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Limb & Brace Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1790789196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 MAIN ST",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105222159",
            "telephone_number": "914-479-0743",
            "fax_number": "914-479-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 MAIN ST",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105222159",
            "telephone_number": "914-479-0743",
            "fax_number": "914-479-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNY",
        "first_name": "MARK",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "NY",
            "license": "02200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02215167",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTHONY",
            "last_name": "SQUICCIARINI",
            "middle_name": "J",
            "prefix": "MR.",
            "credential": "CPO CPED",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dobbs Ferry, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.