MEDICARE: VAN KENYON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	311462	NY

General Provider Information

NPI Number	:	1851823215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VAN KENYON

Provider Business Mailing Address
First Line	:	185 S ORANGE AVE
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07103-2757
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	185 S ORANGE AVE
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07103-2757
Country	:	US
Telephone Number	:	973-972-6049
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2017
Last Update Date	:	03/06/2026

Similar Medicare Providers

1447106711 — ESHA SHAH
Practice Location Address:

185 S ORANGE AVE
NEWARK, NJ
07103-2757

Practice Phone: 201-589-4151
Practice Fax:

1386590396 — KIRA HASSETT
Practice Location Address:

185 S ORANGE AVE
NEWARK, NJ
07103-2757

Practice Phone: 732-445-4636
Practice Fax:

1942839667 — EISON DE GUZMAN MD
Practice Location Address:

185 S ORANGE AVE
NEWARK, NJ
07103-2757

Practice Phone: 973-972-4731
Practice Fax:

1033747167 — DAN CHEN MD
Practice Location Address:

185 S ORANGE AVE
NEWARK, NJ
07103-2757

Practice Phone: 973-972-5007
Practice Fax: 973-972-8202

1932597366 — MRS. RHONIKA ROBERTS LCSW
Practice Location Address:

183 S ORANGE AVE
NEWARK, NJ
07103-2757

Practice Phone: 864-934-1545
Practice Fax:

1194461053 — OLUFUNLOLA T ADEFALU MD
Practice Location Address:

183 S ORANGE AVE
NEWARK, NJ
07103-2757

Practice Phone: 973-997-0818
Practice Fax:

Directions to “ VAN KENYON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.