Active NPI
Michael Arthur Kennedy, MD
- Occupational Medicine Physician
- Newark, DE
National Provider Identifier
1992985550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- MD059935-L
- Practice address
- 62 N. Chapel St, #100
Physicians Group, LLC
Newark, DE 19711-2238 - Phone
- (302) 737-6099
- Fax
- (302) 737-6299
- NPI assigned
- Nov 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | MD059935-L | PA | Primary |
Addresses
Primary practice location
62 N. Chapel St, #100
Physicians Group, LLC
Newark, DE 19711-2238
Mailing address
560 Peoples PLZ
#287
Newark, DE 19702-4798
Phone (302) 388-4424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD059935-L | PA | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283990400000",
"number": "1992985550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 PEOPLES PLZ",
"address_2": "#287",
"city": "NEWARK",
"state": "DE",
"postal_code": "197024798",
"telephone_number": "302-388-4424",
"fax_number": "302-834-0933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 N. CHAPEL ST, #100",
"address_2": "PHYSICIANS GROUP, LLC",
"city": "NEWARK",
"state": "DE",
"postal_code": "197112238",
"telephone_number": "302-737-6099",
"fax_number": "302-737-6299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "MICHAEL",
"middle_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-11",
"last_updated": "2010-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "PA",
"license": "MD059935-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.