Mildred Mary Kenney-Lau, RN, APN.C

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

NN101529 Issued in NJ

Practice address

255 3Rd Ave
Long Branch, NJ 07740-6214

Phone

(732) 923-7792

Fax

(732) 870-3576

NPI assigned

Dec 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mkenneylau69307@direct.cooperhealth.edu
• FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

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.

• Cooper Pediatric Specialists, PC

  • Pediatrics Physician
  • Camden, NJ
  • NPI 1306867585
  Medicare reassignment NPD
• Hackensack Meridian Health Medical Group - Complex Care PC

  • Internal Medicine Physician
  • Red Bank, NJ
  • NPI 1154379626
  Medicare reassignment NPD
• Hackensack Meridian Health Medical Group - Specialty Care PC

  • Surgical Critical Care Physician
  • Red Bank, NJ
  • NPI 1215989249
  Medicare reassignment NPD
• Hackensack Meridian Health Medical Group - Specialty Care PC

  • Durable Medical Equipment & Medical Supplies
  • North Bergen, NJ
  • NPI 1215734199
  NPD

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218153600000",
    "number": "1881759157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SPRUCE DR",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024135",
            "telephone_number": "732-933-5573",
            "fax_number": "732-870-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 3RD AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406214",
            "telephone_number": "732-923-7792",
            "fax_number": "732-870-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY-LAU",
        "first_name": "MILDRED",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "RN, APN.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "NN101529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian David Kaufmann, PA-C
• Ikwinder Preet Kaur
• Jennifer Keedy, MD
• Nicole Keegan, NP
• Kenneth J Rubin MD PA
• Apurva Avadhut Ketkar, MD
• Awais Khalid
• Farhan Khalid, MD
• Mahrukh Ali Khan, MD
• Najaf Khan, DMD

• Pediatric Nurse Practitioner in Long Branch, NJ
• Providers in Long Branch, NJ by specialty
• Pediatric Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.