Active NPI
Jennifer Ann Davis, M.D.
- Pediatric Critical Care Medicine Physician
- Yonkers, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 220980
- Practice address
- 2290 Central Park Ave
Yonkers, NY 10710-1216 - Phone
- (914) 337-5437
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | ME94431 | FL | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 220980 | NY | Primary |
| Health & Wellness Coach | 171400000X |
Addresses
Primary practice location
2290 Central Park Ave
Yonkers, NY 10710-1216
Mailing address
9 Jennings Dr
Bennington, VT 05201-2120
Phone (954) 798-4742
Other practice location 1
1600 S Andrews Ave
PICU, 7th Floor
Ft Lauderdale, FL 33316-2510
Phone (954) 468-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1431 W Woodard St
Denison, TX 75020-3449
147 State St
Montpelier, VT 05602-3301
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220980 | NY | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partners in Integrative Healing PLLC | Current | Accepting new patients | |
| PM Pediatrics of Bayside, PLLC | Past | Accepting new patients | |
| Montefiore Medical Center | Past | Accepting new patients | |
| Night Lite Pediatric Center, LLC | Past | Accepting new patients | |
| PM Pediatrics of Mamaroneck | Past | Accepting new patients | |
| PM Pediatrics PC | Past | Accepting new patients | |
| Specialty Care of Practice Associates,PA | Pediatric Critical Care Medicine | Past | Accepting new patients |
Locations
147 State St
Montpelier, VT 05602
Phone (802) 321-3692
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nurse Practitioner
- Montpelier, VT
- NPI 1013600592
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Specialist
- Bayside, NY
- NPI 1861700353
-
- Urgent Care Clinic/Center
- Mamaroneck, NY
- NPI 1073645180
-
- Urgent Care Clinic/Center
- Syosset, NY
- NPI 1730212390
-
- Pediatrics Physician
- Apopka, FL
- NPI 1407974579
-
- Specialist
- Morristown, NJ
- NPI 1215985908
Pediatric Critical Care Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731715200000",
"number": "1184680282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 JENNINGS DR",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "052012120",
"telephone_number": "954-798-4742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2290 CENTRAL PARK AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "107101216",
"telephone_number": "914-337-5437"
}
],
"practiceLocations": [
{
"address_1": "1600 S Andrews Ave",
"address_2": "PICU, 7th Floor",
"address_purpose": "LOCATION",
"city": "Ft Lauderdale",
"state": "FL",
"postal_code": "333162510",
"country_code": "US",
"telephone_number": "954-468-8000",
"fax_number": "954-468-8007",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "JENNIFER",
"middle_name": "ANN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2024-11-16",
"certification_date": "2024-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "FL",
"license": "ME94431",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NY",
"license": "220980",
"primary": true
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.