Keneil A Williams
Keneil A Williams is a Nurse Practitioner in Paterson, New Jersey. Qualified in 2022, 4 years ago. Practices with Essex Gastro Associates, PA, a 5-clinician group and accepts Medicare assignment. Licensed in New Jersey.
- Years since qualifying
- 4
- Licensed in
- NJ
- In the registry since
- 2023
Practice location Address checks out
268 McBride Ave Bldg 2 Apt 3Paterson, NJ 07501
Phone: (973) 413-5590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence AG09220094 (NJ) |
|---|
Record details
| NPI number | 1407551286 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 3, 2023 |
| Last updated in NPPES | April 3, 2023 |
| Certification date | April 2, 2023 |
| Mailing address | 268 McBride Ave, Building 2 Apt 3, Paterson, NJ 07501 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Essex Gastro Associates, Pa — 5 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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