DR. JOSEPH LOUIS KENNEDY JR. (NPI# 1063641314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063641314 |
Entity Type | Individual |
Full Name | DR. JOSEPH LOUIS KENNEDY JR. |
Credential | M.D. |
Practice Address |
103 Warren Ave Boston MA 02116-6103 |
Practice Telephone | 6172628280 |
Practice Fax Number | 6172662346 |
Mailing Telephone | 6172628280 |
Mailing Fax Number | 6172662346 |
Enumeration Date | 2009-07-08 |
Last Update Date | 2009-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | 26284 | MA | Allopathic & Osteopathic Physicians |
Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
26284 | MA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
1619309424 | Joseph Patrick Kennedy | Student in an Organized Health Care Education/Training Program | 5055 40th St, Sunnyside, NY 11104-4106 | 2013-08-02 |
1518155803 | Joseph Patrick Kennedy | Dentist | 282 E River Rd Ste 100, Tucson, AZ 85704-5851 | 2007-10-11 |
1164429734 | Joseph S Kennedy | Chiropractor | 10330 Iron Bridge Rd, Chester, VA 23831-1425 | 2005-06-28 |
1447876131 | Joseph Scott Kennedy | Nurse Practitioner | 12280 Lake Underhill Rd, Orlando, FL 32825-5009 | 2020-06-18 |
1427684117 | Joseph Kennedy | Student in an Organized Health Care Education/Training Program | 160 Convent Ave, New York, NY 10031-9198 | 2020-03-13 |
1760038673 | Joseph Kennedy | Physical Therapist | 4115 Fairview Ave, Downers Grove, IL 60515-2268 | 2019-08-15 |
1669910360 | Joseph Kennedy | Social Worker | 137 Hospital Dr Ne, Fort Walton Beach, FL 32548-5063 | 2017-02-02 |
1649664913 | Joseph Michael Kennedy | Emergency Medicine | 75 Francis St # 236a, Boston, MA 02115-6110 | 2015-03-25 |
1053588020 | Joseph M Kennedy | Internal Medicine | 650 East Indian School Road, Phoenix, AZ 85012 | 2008-05-09 |
Street Address |
103 WARREN AVE |
City | BOSTON |
State | MA |
Zip Code | 02116-6103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104439272 | Dennis Lau | Pharmacist | 21-23 Stanhope St., Boston, MA 02116 | 2020-08-28 |
1184199457 | Padideh Mohammad Alizadeh Chafjiri | Dentist | 62 Baylston Street Apt 801, Boston, MA 02116 | 2018-10-12 |
1114407467 | Marissa Shallcross | Social Worker | 120 Boylston Street, Boston, MA 02116 | 2018-08-16 |
1245732825 | Rachel Klein | Social Worker | 39 Boylston Street, Boston, MA 02116 | 2018-02-28 |
1447759691 | Yintuition Wellness, Pllc | Acupuncturist | 551 Boylston St., Suite 4, Boston, MA 02116 | 2018-02-02 |
1104324094 | Anne Vinick | Social Worker | The Community Builders, 185 Dartmouth Street 9th Floor, Boston, MA 02116 | 2018-01-25 |
1982117743 | Cassandra Xanthos | Social Worker | Tca Counseling, 262 Beacon St. 2nd Floor, Boston, MA 02116 | 2017-11-14 |
1255859757 | Carolyn Jamie Kussmaul | Physician Assistant | 216 Beacon Street Apt 1, Boston, MA 02116 | 2017-09-05 |
1215472634 | Chantel Castro | Counselor | 8 Yarmouth Place Apt #2, Boston, MA 02116 | 2016-12-20 |
1336598598 | Nicole Savina Rittershaus | Pediatrics | 354 Tremont Street, Boston, MA 02116 | 2016-06-08 |
Find all providers in zip 02116 |
Taxonomy Code | 2080N0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Neonatal-Perinatal Medicine |
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811371123 | Neha Chaudhary | Pediatrics | 330 Brookline Ave # Rose313, Boston, MA 02215-5400 | 2015-07-16 |
1578950770 | Lauren Frazer | Pediatrics | 300 Longwood Ave # Enders9, Boston, MA 02115 | 2015-04-25 |
1821312893 | Ruggero Spadafora | Pediatrics | 912 Beacon St, Boston, MA 02215-3016 | 2010-03-19 |
1902003544 | Sonal Saxena Patel | Pediatrics | 660 Washington St, Apt 7h, Boston, MA 02111-3200 | 2007-06-28 |
1073693412 | Ann Stark | Pediatrics | 330 Brookline Ave # Rose3, Boston, MA 02215 | 2006-10-17 |
1063432482 | Silvia Patrizi | Pediatrics | New England Medical Center, 750 Washington St, Newborn Med, Boston, MA 02111 | 2006-07-20 |
1588693667 | Sadath A. Sayeed | Pediatrics | 651 Huntington Ave, 6th Floor, Fxb, Division of Medical Ethics, Boston, MA 02115-6009 | 2006-07-01 |
1639116817 | Jane E Stewart | Pediatrics | 330 Brookline Street, Beth Israel Hosp/neonat, Boston, MA 02215 | 2006-05-31 |
1720062409 | Wanda Denise Barfield | Pediatrics | 850 Harrison Ave # Yacc6, Boston, MA 02118-4001 | 2005-12-06 |
1972584654 | Mayya Geha | Pediatrics | 55 Fruit Street, Fnd 530, Massachusetts General Hospital, Boston, MA 02114-2621 | 2005-11-09 |
Find all providers in BOSTON |
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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.