Elizabeth Jane Kenney, PNP - Nurse Practitioner in Medford, NY

Elizabeth Jane Kenney, PNP is a Nurse Practitioner - Pediatrics based in Medford, New York. Elizabeth Jane Kenney is licensed to practice in New York (license number F383766-01) and her current practice location is 2799 Route 112 Ste 7&11, Medford, New York. She can be reached at her office (for appointments etc.) via phone at (631) 732-5222.

NPI number for Elizabeth Jane Kenney is 1649064411 and her current mailing address is 75 Terrace Dr, East Northport, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649064411.

Contact Information

Elizabeth Jane Kenney, PNP
2799 Route 112 Ste 7&11,
Medford, NY 11763-2535
(631) 732-5222
(631) 732-6222

Map and Direction




Provider's Profile

Full NameElizabeth Jane Kenney
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location2799 Route 112 Ste 7&11, Medford, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1649064411
  • Provider Enumeration Date: 04/07/2025
  • Last Update Date: 04/07/2025

Medical Identifiers

Medical identifiers for Elizabeth Jane Kenney such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649064411NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics F383766-01 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elizabeth Jane Kenney is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Elizabeth Jane Kenney, PNP
75 Terrace Dr,
East Northport, NY 11731-1229

Ph: (631) 316-9527
Elizabeth Jane Kenney, PNP
2799 Route 112 Ste 7&11,
Medford, NY 11763-2535

Ph: (631) 732-5222

Reviews and Comments


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Phone: 631-732-5222    Fax: 631-732-6222
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