Adessa, Kenneth John
Adessa, Kenneth John is an sole proprietor health care provider with primary practice located at 3699 Route 46 , Parsippany NJ 07054-1049. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Adessa, Kenneth John can be contacted via phone (973) 768-8105.Contact Information
Primary practice address
3699 Route 46
Parsippany NJ 07054-1049
Phone: (973) 768-8105
Fax: (973) 827-7413
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA06454200 | New Jersey |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 25MA06454200 | New Jersey |
Profile Details
| NPI number | 1750348520 |
|---|---|
| LBN Legal business name | Adessa, Kenneth John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Feb 6th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750348520 | NPPES |
| New Jersey | MEDICAID | 7780508 |
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