John G. Kennedy, M.D.

Primary specialty

Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X

License

230567-1 Issued in NY

Practice address

171 Delancey St Ste 210
New York, NY 10002-3411

Phone

(929) 455-2670

Fax

(929) 455-9260

NPI assigned

Aug 25, 2006

Last updated

Apr 15, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 23, 2016 through Jul 23, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: jkennedy278333@nyumc.direct-ci.com

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1902913791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 DELANCEY ST STE 210",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100023411",
            "telephone_number": "929-455-2670",
            "fax_number": "929-455-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 DELANCEY ST STE 210",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100023411",
            "telephone_number": "929-455-2670",
            "fax_number": "929-455-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "JOHN",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "NY",
            "license": "230567-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine A. Kennedy
• Grace Kennedy
• Jamella Kennedy
• Janet Krone Kennedy, PH.D.
• Jason Harvey Kennedy, CNM
• Jonathan Michael Kennedy, MD
• Joseph Kennedy
• Juliana Marie Kennedy, MD
• Kaitlyn Rose Kennedy
• Kara Kennedy, MS, RD, CNSC, CDN

• Orthopaedic Foot and Ankle Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Orthopaedic Foot and Ankle Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.