DR. JOHN J KENNEDY JR. (NPI# 1356382378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356382378 |
| Entity Type | Individual |
| Full Name | DR. JOHN J KENNEDY JR. |
| Credential | MD |
| Practice Address |
1675 Providence Ave Schenectady NY 12309 |
| Practice Telephone | 5183773439 |
| Practice Fax Number | 5183770436 |
| Mailing Telephone | 5183773439 |
| Mailing Fax Number | 5183770436 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2016-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | D0021006 | MD | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | 1390921 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00747291 | 05 | |
| CDPHP | 10001040 | 01 | |
| MVP | 17108 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538722939 | John Kennedy | Counselor | 1491 Main St Ste 401, Willimantic, CT 06226-1914 | 2019-04-22 |
| 1487056727 | John Kennedy | Registered Nurse | 21 Fordham St, Williston Park, NY 11596-1822 | 2014-09-18 |
| 1932480894 | John Thomas Kennedy | Counselor | 476 Skiff Mountain Rd, Kent, CT 06757-1112 | 2011-09-06 |
| 1962736835 | John Lowry Kennedy | Pharmacist | 1716 E Broad St, Statesville, NC 28625-4306 | 2009-09-25 |
| 1699948182 | John Francis Kennedy | Occupational Therapist | 11088 Brandywine Lake Way, Boynton Beach, FL 33473-4888 | 2008-04-07 |
| 1508069048 | John R Kennedy | Dentist | 3515 Mansfield Hwy, Fort Worth, TX 76119-6718 | 2007-06-11 |
| 1982807590 | John Halisey Kennedy | Physical Medicine & Rehabilitation | 4040 Sw 53rd Pl, Portland, OR 97221-2015 | 2007-06-09 |
| 1730395005 | John Patrick Kennedy | Chiropractor | 1280 W Peachtree St Nw, Suite 130, Atlanta, GA 30309-3445 | 2007-05-15 |
| 1841321478 | John A Kennedy | Technician/Technologist | 150 El Camino Real, Suite 101, Tustin, CA 92780-3668 | 2007-03-07 |
| 1629113725 | John Kennedy | Chiropractor | 1951 Hoover Ct, Suite 101, Hoover, AL 35226-3606 | 2007-02-20 |
| Street Address |
1675 PROVIDENCE AVE |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689880163 | Glenn William Thompson | Ophthalmology | 1675 Providence Ave, Schenectady, NY 12309 | 2007-05-14 |
| 1083826374 | Kennedy Ophthalmic Associates Pllc | Eyewear Supplier (Equipment, not the service) | 1675 Providence Ave, Schenectady, NY 12309 | 2007-05-07 |
| 1215150552 | Kennedy Ophthalmology Associates Pllc | Ophthalmology | 1675 Providence Ave, Schenectady, NY 12309 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973071 | Albany Med Niskayuna Ambulatory Endoscopy and Surgery Center | Clinic/Center | 1769 Union Street, 3rd Floor, Niskayana, NY 12309 | 2019-07-11 |
| 1902396351 | Erica S Hill | Occupational Therapist | 2246 Van Rensselaer Dr, Niskayuna, NY 12309 | 2018-05-11 |
| 1588107015 | Orthopedicsny, LLP | Orthopaedic Surgery | 1760 Union St, Suite 100, Schenectady, NY 12309 | 2016-12-01 |
| 1932589983 | Patricia P Primomo | Dentist | 2310 Nott Street East, Niskayuna, NY 12309 | 2015-06-04 |
| 1386074268 | Bernard P Kinlan | Social Worker | 1 Ascot Lane, Terrace At Glen Eddy, Niskayuna, NY 12309 | 2013-11-14 |
| 1255680344 | Rudy Nydegger Phd, Abpp, Pllc | Psychologist | 2317 Balltown Rd., Suite 203, Schenectady, NY 12309 | 2012-09-05 |
| 1407104094 | Rachelle Ann Kehoe | Specialist | 950 St. David's Lane, Schenectady, NY 12309 | 2012-08-29 |
| 1073882726 | Kristina Lynn Deangelo | Speech-Language Pathologist | 1872 Hexam Road West, Niskayuna, NY 12309 | 2011-12-27 |
| 1467720136 | Jjm Chiropractic, LLC | Chiropractor | 1756 Union St., Niskayuna, NY 12309 | 2011-12-08 |
| 1659658474 | Richard W Glover | Dentist | 2310 Nott St. East, Niskayuna, NY 12309 | 2011-11-08 |
| Find all providers in zip 12309 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558547133 | Fraterrigo Eye Physicians &surgeons, Pllc | Ophthalmology | 700 Mcclellan Street, St. Clare's Medical Arts Building, Schenectady, NY 12304 | 2008-01-14 |
| 1801817424 | Robert J Kennedy | Ophthalmology | 1675 Providence Avenue, Schenectady, NY 12309 | 2006-07-21 |
| 1710953369 | Schenectady Ophthalmology Assoc PC | Ophthalmology | 650 Franklin St, Schenectady, NY 12305 | 2006-02-24 |
| 1780060350 | Susan A Kessler, Md, Pllc | Ophthalmology | 700 Mcclellan St, Suite 102, Schenectady, NY 12304-1019 | 2015-08-06 |
| 1770922130 | Schenectady Eye Surgery Associates, Pllc | Ophthalmology | 1201 Nott St, Ste. 105, Schenectady, NY 12308-2589 | 2013-06-19 |
| 1033470141 | Susan A Kessler Md | Ophthalmology | 700 Mcclellan St, Suite 102, Schenectady, NY 12304-1019 | 2012-06-05 |
| 1396974606 | Nicholas W Verola Md | Ophthalmology | 670 Franklin St, Suite 101, Schenectady, NY 12305-2113 | 2009-07-08 |
| 1982855631 | Brian F Strickler | Ophthalmology | 1201 Nott St, Suite 105, Schenectady, NY 12308-2589 | 2008-09-30 |
| 1639353782 | Schenectady Eye Surgery Associates, Pllc | Ophthalmology | 1201 Nott St, Ste. 105, Schenectady, NY 12308-2589 | 2007-12-26 |
| 1689880163 | Glenn William Thompson | Ophthalmology | 1675 Providence Ave, Schenectady, NY 12309 | 2007-05-14 |
| Find all providers in SCHENECTADY | ||||
| City | SCHENECTADY |
| Zip Code | 12309 |
Please comment or provide details below to improve the information on DR. JOHN J KENNEDY JR..
| 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.