Active NPI 1114675022 Individual Practitioner Female Practitioner

Dr. Jacquelyn Renee Kinney , MD

Surgery - Plastic and Reconstructive Surgery • Newark, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Jacquelyn Kinney, MD is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in Newark, NJ. Practice services are available at 140 BERGEN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

140 Bergen St

Newark, NJ 071032425

Telephone 9739725377

Associated Practice Facility / Clinic

🏢 University Physician Associates Of New Jersey Inc Facility NPI 1760492367

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Newark, NJ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 30.3 Yrs

State Avg: 26.4 Yrs

Regional Practice Density

6 Specialists

Practicing in Newark, NJ (87 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-19

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License NJ P24-00760

A surgeon who specializes in plastic and reconstructive surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners

Nikki Castel

Plastic Surgery

NPI 1386007789

Dr. Edward Lee , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1629265657

Doctor of Medicine (M.D.)

Dr. Natalie Hassell , MD

Student in an Organized Health Care Education/Training Program

NPI 1629767173

Doctor of Medicine (M.D.)

Dr. Taylor Smartz , MD

Student in an Organized Health Care Education/Training Program

NPI 1639965429

Doctor of Medicine (M.D.)

Dr. Nikita Shulzhenko , MD

Student in an Organized Health Care Education/Training Program

NPI 1780143503

Doctor of Medicine (M.D.)

Dr. Shanen Mulles , MD

Student in an Organized Health Care Education/Training Program

NPI 1790313476

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location October 19, 2024

Registered at 140 BERGEN ST, NEWARK, NJ 071032425 (Tel: 9739725377)

📍

Updated Business Mailing Address October 19, 2024

Registered at 140 BERGEN ST, NEWARK, NJ 071032425 (Tel: 9739721129)

👤

Provider Name / Credentials Updated October 19, 2024

Recorded as JACQUELYN KINNEY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2024

Surgery (License #P24-00760 in NJ)

✅

NPI Profile Active March 10, 2022

NPI status registered as active in NPPES database

📍

Updated Practice Location March 10, 2022

Registered at 701 MESA RIDGE DR, RAYMORE, MO 640838597 (Tel: 6608644428)

📍

Updated Business Mailing Address March 10, 2022

Registered at 701 MESA RIDGE DR, RAYMORE, MO 640838597 (Tel: 6608644428)

👤

Provider Name / Credentials Updated March 10, 2022

Recorded as JACQUELYN KINNEY

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2022

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration March 10, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114675022

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 10, 2022

Last Update: October 19, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

140 Bergen St

Newark, NJ 071032425

Phone: 9739721129

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.