Jena Medical Group, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JENA MEDICAL GROUP, LLC

Practice address

926 Saxon Blvd
Orange City, FL 32763-8313

Phone

(386) 774-1881

Fax

(386) 774-1264

NPI assigned

Apr 17, 2017

Last updated

Feb 3, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Benjamin Weiss

Title

President

Phone

(347) 542-6360

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1053845099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 ADAMS CT",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201655",
            "telephone_number": "347-542-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 SAXON BLVD",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638313",
            "telephone_number": "386-774-1881",
            "fax_number": "386-774-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENA MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-17",
        "last_updated": "2021-02-03",
        "certification_date": "2020-11-25",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-542-6360",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kwana Jacobs
• Maya Jacobs
• Jaime J Perez DC Inc (OneCare Health Associates)
• Fiaz Ahmad Jaleel, M.D
• Ashley Jean
• Taylor Jerrall, OTR/L
• Emily Jessup, BCBA
• Jessup, Inc
• Jose Alberto Jimenez
• James M Jochum, MD

• Family Medicine Physician in Orange City, FL
• Providers in Orange City, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.