VAN KENYON
NPI 1851823215
Emergency Medicine in Newark, NJ
About Van Kenyon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VAN KENYON (NPI 1851823215) is an individual emergency medicine provider in Newark, New Jersey, licensed in New York (311462) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of State University Of Ny Upstate Medical University (2017).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Van Kenyon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Van Kenyon reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10025
- Reassigned Medicare billing, New York enrollment
- 5,251 clinicians in this Medicare group
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Poughkeepsie, NY 12601
- Reassigned Medicare billing, New York enrollment
- 356 clinicians in this Medicare group
Christiansted, St. Croix, VI 00821
- Reassigned Medicare billing, U.S. Virgin Islands enrollment
- 331 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Montefiore Medical Center
Acute Care Hospitals · Bronx, NYLong Island Jewish Medical Center
Acute Care Hospitals · New Hyde Park, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWARK, NJ 07103
NEWARK, NJ 07103
NEWARK, NJ 07103
NEWARK, NJ 07103
NEWARK, NJ 07103
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 Van Kenyon's NPI number?
The NPI number for Van Kenyon is 1851823215. It was assigned to this individual provider in the NPPES registry on April 3, 2017.
Where is Van Kenyon located?
Van Kenyon practices at 185 S Orange Ave, Newark, NJ 07103. The listed phone number is (973) 972-6049.
What is Van Kenyon's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Van Kenyon enrolled in Medicare?
Yes. Van Kenyon is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Van Kenyon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Van Kenyon reassigns Medicare benefits to 4 organizations: Montefiore Medical Center (New York, NY), North Shore - Lij Medical PC (New Hyde Park, NY), Emergency Physician Services Of New York, P.C. (Poughkeepsie, NY) and Governor Juan F. Luis Hospital & Medical Center (Christiansted, St. Croix, VI). Each 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 Van Kenyon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Van Kenyon affiliated with any hospitals?
According to CMS data, Van Kenyon is affiliated with Montefiore Medical Center and Long Island Jewish Medical Center.
When was this NPI record last updated?
The NPPES record for Van Kenyon was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Van Kenyon · NPI 1851823215
Emergency Medicine physician in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since April 3, 2017.
## Identity
- **NPI:** 1851823215 (Entity type: Individual)
- **Enumerated:** April 3, 2017
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 311462 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 185 S ORANGE AVE, Newark, NJ 07103-2757
- **Phone:** (973) 972-6049
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Montefiore Medical Center (NPI 1760288278, New York, NY); North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY); Emergency Physician Services Of New York, P.C. (NPI 1093759847, Poughkeepsie, NY); Governor Juan F. Luis Hospital & Medical Center (NPI 1972503647, Christiansted, St. Croix, VI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of Ny Upstate Medical University, class of 2017
## Record status
- **NPPES last updated:** March 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1851823215) · Data from the CMS NPPES public registry.