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

Van Kenyon

Individual provider Emergency Medicine Physician · NPI 1851823215

Van Kenyon is an Emergency Medicine in Newark, New Jersey. Graduated from State University of Ny Upstate Medical University in 2017, 9 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and offers telehealth. Licensed in New York.

Years since qualifying
9
Trained at
State University of Ny Upstate Medical University
Licensed in
NY
In the registry since
2017
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Practice location Address checks out

185 S Orange Ave
Newark, NJ 07103-2757
Phone: (973) 972-6049
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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 311462 (NY)

Record details

NPI number1851823215
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 3, 2017
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026
Mailing address185 S Orange Ave, Newark, NJ 07103-2757

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2017 (9 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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