Individual provider Active NPI

Kensky Meme, NP

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1841085008
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
311819 Issued in NY
Practice address
1122 Avenue P
Brooklyn, NY 11229-1025
Phone
(718) 377-2834
NPI assigned
Apr 10, 2025
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 311819 NY Primary

Addresses

Primary practice location

1122 Avenue P
Brooklyn, NY 11229-1025

Mailing address

21814 100TH Ave
Queens Village, NY 11429-1209
Phone (917) 607-8877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250609000120 NY Practitioner - Nurse Practitioner 5092225169 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
311819NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Medical Diagnostics PLLC CurrentSince May 7, 2025 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1841085008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21814 100TH AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291209",
            "telephone_number": "917-607-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291025",
            "telephone_number": "718-377-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEME",
        "first_name": "KENSKY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-09-11",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "311819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.