Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kenney Justin Jean-Pierre, PA-C

Individual provider Physician Assistant · NPI 1699553503

Kenney Justin Jean-Pierre, PA-C is a Physician Assistant in West Islip, New York. Qualified in 2023, 3 years ago. Practices with Good Samaritan Hospital Medical Center, a 147-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone: (631) 376-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1699553503
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 20, 2023
Last updated in NPPESSeptember 22, 2023
Certification dateSeptember 22, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Good Samaritan Hospital Medical Center — 147 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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