Active NPI
Alicia Nicole Kenton, M.D.
- Pediatric Sports Medicine Physician
- New Brunswick, NJ
National Provider Identifier
1821358565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Sports Medicine Physician
- License
- 25MA09962700
- Practice address
- 11 Bishop PL
New Brunswick, NJ 08901-1178 - Phone
- (848) 932-7402
- NPI assigned
- May 28, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Sports Medicine Physician | 2080S0010X | 25MA09962700 | NJ | Primary |
Addresses
Primary practice location
11 Bishop PL
New Brunswick, NJ 08901-1178
Mailing address
11 Bishop PL
New Brunswick, NJ 08901-1178
Phone (848) 932-7402
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09962700 | NJ | MD | Pediatric Sports Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515628800000",
"number": "1821358565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 BISHOP PL",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011178",
"telephone_number": "848-932-7402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 BISHOP PL",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011178",
"telephone_number": "848-932-7402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENTON",
"first_name": "ALICIA",
"middle_name": "NICOLE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-28",
"last_updated": "2018-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "2080S0010X",
"taxonomy_group": "",
"desc": "Pediatrics, Sports Medicine",
"state": "NJ",
"license": "25MA09962700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.