Sharlene M Kinney, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

212187 Issued in NY

Practice address

786 Whig St
Newark Valley, NY 13811

Phone

(607) 725-5634

NPI assigned

Oct 3, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• United Health Services Hospitals, Inc.

  • Multi-Specialty Clinic/Center
  • Johnson City, NY
  • NPI 1962463851
  NPD (past)

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1851388102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "786 WHIG ST",
            "city": "NEWARK VALLEY",
            "state": "NY",
            "postal_code": "138112510",
            "telephone_number": "607-725-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786 WHIG ST",
            "city": "NEWARK VALLEY",
            "state": "NY",
            "postal_code": "13811",
            "telephone_number": "607-725-5634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12594 State Route 38",
            "address_purpose": "LOCATION",
            "city": "Berkshire",
            "state": "NY",
            "postal_code": "137361907",
            "country_code": "US",
            "telephone_number": "607-657-8528",
            "fax_number": "607-657-8528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "SHARLENE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "212187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02222439",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Giordano
• Laurie B Goodwin
• Jennifer Hoover, RN
• Samantha G. Jones, RPN
• Philip Kasmarcik, NP
• Amy Lord, FNP-C
• Newark Valley C.S.D.
• Kristin Oliver, LMHC
• Tamara Ann Onofrio, LCSW-R
• Colleen Marie Repetto

• Family Medicine Physician in Newark Valley, NY
• Providers in Newark Valley, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.