Organization Active NPI

Jeffrey Jennings MC PC

  • Nephrology Physician
  • Rochester, MI
National Provider Identifier
1013094796
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
045321 Issued in MI
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

Updated by the provider on Jan 14, 2008

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)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1560341MedicaidMI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.