DR. ROBERT J KENNEDY (NPI# 1801817424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801817424 |
| Entity Type | Individual |
| Full Name | DR. ROBERT J KENNEDY |
| Credential | MD |
| Practice Address |
1675 Providence Avenue Schenectady NY 12309 |
| Practice Telephone | 5183773439 |
| Mailing Telephone | 5183773439 |
| Mailing Fax Number | 5183770436 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 1589361 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CDPHP | 10001042 | 01 | |
| MVP | 17111 | 01 | |
| BS | 000405575002 | 01 | |
| NY | 00864755 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893098 | Robert Dale Kennedy | Technician | 460 Mitchell Branch, Red Jacket, WV 25692 | 2020-08-26 |
| 1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
| 1588119481 | Robert Kennedy | Counselor | 313 W Valencia St, Lakeland, FL 33805-3138 | 2016-08-20 |
| 1538549514 | Robert Kennedy | Physical Therapy Assistant | 300 Seville Road, Hurricane, WV 25526 | 2015-06-04 |
| 1780096040 | Robert Kennedy IIi | Social Worker | 654 Jones Ln, Dublin, GA 31021-0303 | 2014-05-21 |
| 1134492481 | Robert S Kennedy | Pharmacist | 3551 Roger Brooke Dr # Drive, Jbsa Ft Sam Houston, TX 78234-4504 | 2012-02-17 |
| 1215163142 | Robert Edward Kennedy | Psychoanalyst | 50 Greenwood Ave, Jersey City, NJ 07306 | 2009-06-05 |
| 1134379415 | Robert Joseph Kennedy | Physical Therapist | 155 Bryant Ave, Glen Ellyn, IL 60137-5523 | 2008-09-24 |
| 1063691889 | Robert Leslie Kennedy | Pharmacist | 1735 Scherm Rd, Owensboro, KY 42301-5972 | 2007-10-29 |
| 1578635926 | Robert M Kennedy | Dentist | 200 The Great Road, Suite 243, Bedford, MA 01730 | 2006-11-14 |
| Street Address |
1675 PROVIDENCE AVENUE |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12309 |
| 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 |
| 1356382378 | John J Kennedy Jr. | Ophthalmology | 1675 Providence Ave, Schenectady, NY 12309 | 2006-06-09 |
| 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 |
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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.