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

Kenan Jared Mediodia Palmares, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1770402430

Kenan Jared Mediodia Palmares, NP is a Psychiatric/Mental Health Nurse Practitioner in Elmhurst, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

7901 Broadway
Elmhurst, NY 11373-1329
Phone: (718) 334-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 408827 (NY)

Record details

NPI number1770402430
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedJuly 14, 2026
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026

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