Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mona Kennedy, MD

Individual provider Obesity Medicine (Preventive Medicine) Physician · NPI 1629364328

Dr. Mona Kennedy, MD is a Family Practice in New York, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2011, 15 years ago. Practices with Prine Health Medical Group, PLLC, a 75-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
15
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1153 Broadway
New York, NY 10001-7517
Phone: (833) 334-6393
Fax: (415) 354-3430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 276700 (NY)
Obesity Medicine (Preventive Medicine) Physician Taxonomy 2083B0002X · Licence 276700 (NY)

Record details

NPI number1629364328
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2011
Last updated in NPPESMarch 20, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Prine Health Medical Group, Pllc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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