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

Kathleen Alyse Koenderman, PA

Individual provider Physician Assistant · NPI 1598011926

Kathleen Alyse Koenderman, PA is a Physician Assistant in New York, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

627 W 165th St
New York, NY 10032-3790 Not confirmed with CMS for 14 years — call before visiting
Phone: (516) 659-4505
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 015753-1 (NY)

Record details

NPI number1598011926
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 3, 2012
Last updated in NPPESAugust 28, 2012

Other providers in New York