Dr Paul Vincent Kennedy, MD | |
117 Watchung Ave, 2nd Floor, Montclair, NJ 07043-1710 | |
(973) 783-2984 | |
(973) 783-5074 |
Full Name | Dr Paul Vincent Kennedy |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 117 Watchung Ave, Montclair, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194763904 | NPI | - | NPPES |
P00836064 | Other | NJ | RR MEDICARE |
0224804 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 38919 (New Jersey) | Primary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 38919 (New Jersey) | Secondary |
Entity Name | Behavioral Health Specialist At Highland Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730410481 PECOS PAC ID: 9436282514 Enrollment ID: O20100727000768 |
Mailing Address | Practice Location Address |
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Dr Paul Vincent Kennedy, MD 5 Fairfield St, Montclair, NJ 07042-4113 Ph: (973) 783-2984 | Dr Paul Vincent Kennedy, MD 117 Watchung Ave, 2nd Floor, Montclair, NJ 07043-1710 Ph: (973) 783-2984 |
Dr. David Blady, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 127 Pine St, Montclair, NJ 07042 Phone: 973-743-9555 | |
Dr. John Cooke, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 516 Bloomfield Ave, Suite 4, Montclair, NJ 07042 Phone: 973-509-1500 Fax: 973-509-1919 | |
Dr. Bruce P Friedman, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 207 Inwood Ave, Montclair, NJ 07043 Phone: 973-509-8400 Fax: 973-337-5097 | |
Dr. Laurence Michael Westreich, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 202 Bellevue Ave, Side Entrance, Montclair, NJ 07043 Phone: 973-509-1444 | |
Marie R Badaracco-apolito, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 88 Norwood Ave, Montclair, NJ 07043 Phone: 973-783-5033 Fax: 973-746-2604 | |
Dr. Edward A Latimer, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 24 Portland Pl, Montclair, NJ 07042 Phone: 973-744-1880 Fax: 973-746-9575 |