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

Jessica Kennedy

Individual provider Internal Medicine Physician · NPI 1093456865

Jessica Kennedy is an Internal Medicine in Harrison, New York. Qualified in 2021, 5 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2022
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Practice location Address checks out

450 Mamaroneck Ave Ste 200
Harrison, NY 10528-2430
Phone: (191) 455-6496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 340370 (NY)

Record details

NPI number1093456865
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 5, 2022
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025
Mailing address620 Pelhamdale Ave Apt 33, Pelham, NY 10803-2817

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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