Individual provider Active NPI

Kendall Jean McCoy, CNM

  • Advanced Practice Midwife
  • Brooklyn, NY
National Provider Identifier
1891463253
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
F002098-01 Issued in NY
Practice address
688 Saint Marks Ave Apt 3
Brooklyn, NY 11216-3697
Phone
(443) 562-5233
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 002098 NY
Advanced Practice Midwife 367A00000X F002098-01 NY Primary

Addresses

Primary practice location

688 Saint Marks Ave Apt 3
Brooklyn, NY 11216-3697

Mailing address

688 Saint Marks Ave Apt 3
Brooklyn, NY 11216-3697
Phone (443) 562-5233

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211005000224 NY Practitioner - Certified Nurse Midwife (CNM) 3375941412 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
F002098-01NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Guirguis Obstetrics & Gynecology, PLLC CurrentSince Nov 1, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

464 77th St
Brooklyn, NY 11209
Phone (718) 680-8383

522 3rd St
Brooklyn, NY 11215
Phone (610) 639-5599

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25913/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kendallmccoy@mai.allscriptsdirect.net
  • Direct secure messaging: kendall.mccoy.1@22846.direct.athenahealth.com

Organizations & group practices 3

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": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1891463253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "688 SAINT MARKS AVE APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112163697",
            "telephone_number": "443-562-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 SAINT MARKS AVE APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112163697",
            "telephone_number": "443-562-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "KENDALL",
        "middle_name": "JEAN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "002098",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F002098-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.