JUDITH KENIFIC (NPI# 1295386753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295386753 |
| Entity Type | Individual |
| Full Name | JUDITH KENIFIC |
| Practice Address |
800 Irving Ave Syracuse NY 13210 |
| Practice Telephone | 3154254400 |
| Mailing Telephone | 3154254400 |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
800 IRVING AVE |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316931926 | Thomas Patrick Lynch Jr. | Pharmacist | 800 Irving Ave, Pharmacy (119), Syracuse, NY 13210-2716 | 2005-09-09 |
| 1306458229 | Benjamin Robert Bratek | Pharmacist | 800 Irving Ave, Syracuse, NY 13210-2716 | 2020-08-21 |
| 1629695655 | Carrie-jo Elizabeth Farrugia | Pharmacist | 800 Irving Ave, Syracuse, NY 13210-2716 | 2020-06-25 |
| 1144847120 | Alexis Anne Baker | Pharmacist | 800 Irving Ave, Syracuse, NY 13210-2716 | 2020-06-25 |
| 1285274092 | Matthew Byrne Gostowski | Physical Therapist | 800 Irving Ave, Syracuse, NY 13210-2716 | 2020-01-09 |
| 1740829225 | Robert Laufer | Technician | 800 Irving Ave, Syracuse, NY 13210-2716 | 2019-12-31 |
| 1043856156 | Bethany Kelley | Physician Assistant | 800 Irving Ave, Syracuse, NY 13210-2716 | 2019-11-24 |
| 1336784479 | Wendy Sue Colt | Registered Nurse | 800 Irving Ave, Syracuse, NY 13210-2716 | 2019-11-13 |
| 1306496328 | Danielle Marie Bieling | Nurse Practitioner | 800 Irving Ave, Syracuse, NY 13210-2716 | 2019-09-12 |
| 1457909350 | Alice Sue Geisel | Technician | 800 Irving Ave, Syracuse, NY 13210 | 2019-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
| Find all providers in zip 13210 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740829225 | Robert Laufer | Technician | 800 Irving Ave, Syracuse, NY 13210-2716 | 2019-12-31 |
| 1457909350 | Alice Sue Geisel | Technician | 800 Irving Ave, Syracuse, NY 13210 | 2019-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885666 | Carole Jane Pelaia | Technician | 100 Forrestal Hts, Beacon, NY 12508-3733 | 2020-09-15 |
| 1194340950 | Barbara Dore Russell | Technician | 43 Hillsboro Dr, Orchard Park, NY 14127-3433 | 2020-06-08 |
| 1316560105 | Baw Su | Technician | 341 Oliver St, N Tonawanda, NY 14120-7227 | 2020-05-27 |
| 1255953782 | Tina Marie Loucks | Technician | 6294 Fulford Hill Rd, Bath, NY 14810-8156 | 2020-05-06 |
| 1508487240 | Jacqueline Marshall | Technician | 144 South 2nd Avenue 2c, Mount Vernon, West Chester, NY 10550 | 2020-05-05 |
| 1891324240 | Crystal Lynn Booth | Technician | 5510 Fortuna Pkwy, Clay, NY 13041-8929 | 2020-04-07 |
| 1366076788 | Patricia Metznik Garcia | Technician | 1660 S Ivy Trl, Baldwinsville, NY 13027-9051 | 2020-02-25 |
| 1578196549 | Ernesto Murray | Technician | 463 East 178st Apt#3b, Bronx New York, NY 10457 | 2020-02-19 |
| 1588204317 | Jeanie L Phillips | Technician | 1837 Us Highway 11 Lot 34, Marathon, NY 13803-2360 | 2020-01-09 |
| 1568001972 | William B Love | Technician | 2050 Frederick Douglas Blvd #2-10, New York, NY 10026-3236 | 2020-01-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JUDITH KENIFIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.