DR. KENNETH TREADWELL JR. MD
NPI 1659347086
Obstetrics & Gynecology in Irvington, NJ

Active since February 25, 2006PECOS EnrolledAccepts Medicare Assignment
1387 CLINTON AVE, IRVINGTON, NJ 07111(973) 372-1441(973) 372-6019 Get Directions Write a Review

NPPES record last updated: June 25, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kenneth Treadwell Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH TREADWELL JR. MD (NPI 1659347086) is an individual obstetrics & gynecology provider in Irvington, New Jersey, licensed in New Jersey (25MA03828700) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Newark Beth Israel Medical Center, and is a graduate of University Of Rochester School Of Medicine And Dentistry (1977).

NPPES Registry Identity

NPI1659347086
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. KENNETH TREADWELL JR.Credential: MD
Location Address1387 CLINTON AVEIrvington, NJ 07111-1442
Mailing Address1387 Clinton AveIrvington, NJ 07111-1442 · (973) 372-1441 · Fax (973) 372-6019
Fax(973) 372-6019
Sole ProprietorYes
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1977
Enumeration DateFebruary 25, 2006
Last NPPES UpdateJune 25, 2010
NPI 1659347086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NJ · 25MA03828700
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1387 CLINTON AVE, Irvington, NJ 07111

Other Identifiers 4

Medicare UPINB17283NJ
Other25MA03828700NJ · State Lic Nr
Medicare ID-Type Unspecified450137NJ
Medicaid3369803NJ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kenneth Treadwell Jr. Md 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.

PECOS PAC ID244425155
PECOS Enrollment IDI20101117000235
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Newark Beth Israel Medical Center

Acute Care Hospitals · Newark, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310002
Location201 Lyons AveNewark, NJ 07112 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
1387 CLINTON AVE
IRVINGTON, NJ 07111

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 Kenneth Treadwell's NPI number?

The NPI number for Kenneth Treadwell is 1659347086. It was assigned to this individual provider in the NPPES registry on February 25, 2006.

Where is Kenneth Treadwell located?

Kenneth Treadwell practices at 1387 Clinton Ave, Irvington, NJ 07111. The listed phone number is (973) 372-1441.

What is Kenneth Treadwell's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kenneth Treadwell enrolled in Medicare?

Yes. Kenneth Treadwell 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.

What insurance does Kenneth Treadwell accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Kenneth Treadwell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kenneth Treadwell affiliated with any hospitals?

According to CMS data, Kenneth Treadwell is affiliated with Newark Beth Israel Medical Center.

When was this NPI record last updated?

The NPPES record for Kenneth Treadwell was last updated on June 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.