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

Kevin Hendrickson

Individual provider Emergency Medicine Physician · NPI 1689074957

Kevin Hendrickson is an Emergency Medicine in Fort Drum, New York. Graduated from Temple University School of Medicine in 2022, 4 years ago. Practices with Physicians Medical Associates New York PC, a 97-clinician group and accepts Medicare assignment. Licensed in New York and Virginia.

Years since qualifying
4
Trained at
Temple University School of Medicine
Licensed in
NY, VA
In the registry since
2014
Specialties on file
4
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Practice location Address checks out

11050 Mt Belvedere Blvd
Fort Drum, NY 13602-2603
Phone: (908) 255-2087
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 0101282168 (VA)
Athletic Trainer Taxonomy 2255A2300X
Emergency Medicine Physician Taxonomy 207P00000X · Licence 339422 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1689074957
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 24, 2014
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026
Mailing address86 Knickerbocker Dr, Belle Mead, NJ 08502-4545

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Physicians Medical Associates New York Pc — 97 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Drum