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

Nicole Theresa Kennedy-Pauls, MD

Individual provider Emergency Medicine Physician · NPI 1366763732

Nicole Theresa Kennedy-Pauls, MD is an Emergency Medicine in Brooklyn, New York. Qualified in 2013, 13 years ago. Practices with The Bortolazzo Group, LLC, a 92-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
13
Licensed in
NY
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

150 55th St
Brooklyn, NY 11220-2508
Phone: (718) 630-7000
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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 268997 (NY)

Record details

NPI number1366763732
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2010
Last updated in NPPESSeptember 11, 2017

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice The Bortolazzo Group, Llc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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