Active NPI
Jeffrey Jennings MC PC
- Nephrology Physician
- Rochester, MI
National Provider Identifier
1013094796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 045321
- Legal business name
- JEFFREY JENNINGS MC PC
- Practice address
- 134 W University Dr
Ste 202
Rochester, MI 48307-1951 - Phone
- (586) 726-0340
- Fax
- (586) 254-3872
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Jennings, MD
- Title
- Owner
- Phone
- (856) 726-0340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 045321 | MI | Primary |
Addresses
Primary practice location
134 W University Dr
Ste 202
Rochester, MI 48307-1951
Mailing address
134 W University Dr
Ste 202
Rochester, MI 48307-1951
Phone (586) 726-0340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1560341 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
134 W University Dr
Ste 202
Rochester, MI 48307
Phone (248) 651-2100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200268800000",
"number": "1013094796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 W UNIVERSITY DR",
"address_2": "STE 202",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "483071951",
"telephone_number": "586-726-0340",
"fax_number": "586-254-3872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 W UNIVERSITY DR",
"address_2": "STE 202",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "483071951",
"telephone_number": "586-726-0340",
"fax_number": "586-254-3872"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY JENNINGS MC PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2008-01-14",
"status": "A",
"authorized_official_last_name": "JENNINGS",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "856-726-0340",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "MI",
"license": "045321",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1560341",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.