Jennifer Lee Koebensky, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

603787 Issued in NY

Practice address

1321 Avalon SQ
Glen Cove, NY 11542-2878

Phone

(484) 880-0870

NPI assigned

Sep 5, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1104074954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 AVALON SQ",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422878",
            "telephone_number": "484-880-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 AVALON SQ",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422878",
            "telephone_number": "484-880-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEBENSKY",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-05",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "603787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diego Kim
• Benita Kinard, NP
• Andrea Kines, RN
• William Kitay, PH.D.
• Ara Ko
• Rachel Konel, CAT
• Arnold George Konig, M.D.
• Michael M Kotkin, DPM
• Maria Koutros
• Ermelinda Kovacs, PA

• Registered Nurse in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.