Jennifer Maw, M.D., Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A657850 Issued in CA

Legal business name

JENNIFER MAW, M.D., INC

Practice address

3071 Payne Ave
San Jose, CA 95128-4054

Phone

(408) 540-5400

Fax

(408) 540-5419

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Lesley Maw, MDNPI 1609989417

Title

President

Phone

(405) 540-5400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Lesley Maw, MD

  • Specialist
  • San Jose, CA
  • NPI 1609989417
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1194749556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3071 PAYNE AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284054",
            "telephone_number": "408-540-5400",
            "fax_number": "408-540-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3071 PAYNE AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284054",
            "telephone_number": "408-540-5400",
            "fax_number": "408-540-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER MAW, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "MAW",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LESLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-540-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A657850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenifers Health Center
• Jeffrey S Jenkins, DC
• Phyllis Berschauyer Jenkins, MA,LMFT
• Jean Ann Jennett, PHD
• Jennifer Le Dental Corporation
• Jennifer Moran, DDS, Inc.
• Jennifer Murphy DC Chiropractic Inc
• Jennifer Tran Lee DMD
• Jennings Chiropractic Corporation
• Alexandra Page Jennings

• Specialist in San Jose, CA
• Providers in San Jose, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.