NPIMap

Organization Active NPI

Patricia Melo'Kennedy

  • Preferred Provider Organization
  • Woodside, NY
National Provider Identifier
1982876983
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
254997 Issued in NY
Legal business name
PATRICIA MELO'KENNEDY
Practice address
5014 Broadway Apt 3a
Woodside, NY 11377-1811
Phone
(718) 545-2030
NPI assigned
Mar 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Ms. Patricia Melo'Kennedy, LPNNPI 1477701530
Title
LPN
Phone
(718) 545-2030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 254997 NY Primary

Addresses

Primary practice location

5014 Broadway Apt 3a
Woodside, NY 11377-1811

Mailing address

5014 Broadway Apt 3a
Woodside, NY 11377-1811
Phone (718) 545-2030

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1982876983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5014 BROADWAY APT 3A",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113771811",
            "telephone_number": "718-545-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5014 BROADWAY APT 3A",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113771811",
            "telephone_number": "718-545-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA MELO'KENNEDY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "MELO'KENNEDY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "718-545-2030",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NY",
            "license": "254997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.