Jenifer Ann Aventuro, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

D0052268 Issued in MD

Practice address

15235 Shady Grove Rd Ste 101
Rockville, MD 20850-6273

Phone

(301) 330-1366

NPI assigned

Oct 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Jenifer Luck Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134216708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15235 SHADY GROVE RD STE 101",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506273",
            "telephone_number": "301-330-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15235 SHADY GROVE RD STE 101",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506273",
            "telephone_number": "301-330-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVENTURO",
        "first_name": "JENIFER",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0052268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4404310",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENIFER",
            "last_name": "LUCK",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chun H Auyeung, O.D
• Vanessa Ileane Avalos Irizarry
• Margi Avalos
• Justin Avelar
• Emmanuel Avellaneda
• Avenues ABA MD LLC
• Avery Halfway House
• Chris Avery
• Elizabeth Avery
• Eduardo A Avila, D.M.D., M.P.H.

• Ophthalmology Physician in Rockville, MD
• Providers in Rockville, MD by specialty
• Ophthalmology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.