KENNEY ABRAHAM DO
NPI 1023710969
Student in an Organized Health Care Education/Training Program in Staten Island, NY
About Kenney Abraham Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNEY ABRAHAM DO (NPI 1023710969) is an individual student in an organized health care education/training program in Staten Island, New York and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Staten Island University Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2023).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kenney Abraham Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kenney Abraham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Staten Island University Hospital
Acute Care Hospitals · Staten Island, NYOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kenney Abraham's NPI number?
The NPI number for Kenney Abraham is 1023710969. It was assigned to this individual provider in the NPPES registry on March 21, 2023.
Where is Kenney Abraham located?
Kenney Abraham practices at 475 Seaview Ave, Staten Island, NY 10305. The listed phone number is (718) 226-9000.
What is Kenney Abraham's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Kenney Abraham enrolled in Medicare?
Yes. Kenney Abraham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kenney Abraham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenney Abraham reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenney Abraham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kenney Abraham affiliated with any hospitals?
According to CMS data, Kenney Abraham is affiliated with Staten Island University Hospital.
When was this NPI record last updated?
The NPPES record for Kenney Abraham was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kenney Abraham, DO · NPI 1023710969
Student in an Organized Health Care Education/Training Program provider in Staten Island, New York. Individual provider, active in the CMS NPPES registry since March 21, 2023.
## Identity
- **NPI:** 1023710969 (Entity type: Individual)
- **Enumerated:** March 21, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 475 SEAVIEW AVE, Staten Island, NY 10305-3436
- **Phone:** (718) 226-9000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York College Of Osteo Medicine Of New York Institute Of Technology, class of 2023
## Record status
- **NPPES last updated:** June 26, 2026
- **Other identifiers:** Medicaid GY01609F (NY)
---
Source: [NPI Profile](https://npiprofile.com/npi/1023710969) · Data from the CMS NPPES public registry.