Marci Kenon

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

License

302388 Issued in FL

Practice address

101 W 123Rd St
New York, NY 10027-5511

Phone

(646) 389-0063

Fax

(479) 777-8056

NPI assigned

Jan 30, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Preventive Lifestyle Assistance Network Marci Kenon Sole MBR

  • Prevention Professional
  • New York, NY
  • NPI 1730716937
  NPD Authorized official

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1982235727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 5TH AVE APT 25E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293127",
            "telephone_number": "646-389-0063",
            "fax_number": "479-777-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 123RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100275511",
            "telephone_number": "646-389-0063",
            "fax_number": "479-777-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENON",
        "first_name": "MARCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "FL",
            "license": "302388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon-Emile Stuart Kenny, MD
• Julia Rose Kenny, RN
• Michelle M Kenny, FNP-C
• Sheila Ann Kenny, NP
• Theresa Kenny
• Sean Kensing
• Vanessa Kensing, LCSW, CASAC
• Kent D Shinbach MD PC
• Amie Jill Kent
• Annette Kent, MA

• Prevention Professional in New York, NY
• Providers in New York, NY by specialty
• Prevention Professional in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.