Active NPI
Jenny Torres, MD
- Internal Medicine Physician
- Elmhurst, NY
National Provider Identifier
1225235278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 242679
- Practice address
- 79-01 Broadway
Room A1-9
Elmhurst, NY 11373-1329 - Phone
- (718) 334-4952
- Fax
- (718) 334-4815
- NPI assigned
- Jul 2, 2007
- Last updated
- Jun 4, 2020
- 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 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD15215 | RI | |
| Internal Medicine Physician | 207R00000X | D80866 | MD | |
| Internal Medicine Physician | 207R00000X | MD457277 | PA | |
| Internal Medicine Physician | 207R00000X | MD20874 | ME | |
| Internal Medicine Physician | 207R00000X | 55066 | CT | |
| Internal Medicine Physician | 207R00000X | 01077140A | IN | |
| Internal Medicine Physician | 207R00000X | 4301109330 | MI | |
| Internal Medicine Physician | 207R00000X | 042.0013619 | VT | |
| Internal Medicine Physician | 207R00000X | C1-0011910 | DE | |
| Internal Medicine Physician | 207R00000X | 25MA10037200 | NJ | |
| Internal Medicine Physician | 207R00000X | 266685 | MA | |
| Internal Medicine Physician | 207R00000X | 242679 | NY | Primary |
Addresses
Primary practice location
79-01 Broadway
Room A1-9
Elmhurst, NY 11373-1329
Mailing address
79-01 Broadway
Room A1-9
Elmhurst, NY 11373-1329
Phone (718) 334-4952
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02900681 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Meharry Medical College School of Medicine, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
401 Warren St
Redwood City, CA 94063-1536
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55066 | CT | MD | Internal Medicine Physician |
| C1-0011910 | DE | MD | Internal Medicine Physician |
| 01077140A | IN | MD | Internal Medicine Physician |
| 266685 | MA | MD | Internal Medicine Physician |
| D80866 | MD | MD | Internal Medicine Physician |
| MD20874 | ME | MD | Internal Medicine Physician |
| 4301109330 | MI | MD | Internal Medicine Physician |
| 25MA10037200 | NJ | MD | Internal Medicine Physician |
| 242679 | NY | MD | Internal Medicine Physician |
| MD457277 | PA | MD | Internal Medicine Physician |
| MD15215 | RI | MD | Internal Medicine Physician |
| 042.0013619 | VT | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591228800000",
"number": "1225235278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79-01 BROADWAY",
"address_2": "ROOM A1-9",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113731329",
"telephone_number": "718-334-4952",
"fax_number": "718-334-4815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79-01 BROADWAY",
"address_2": "ROOM A1-9",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113731329",
"telephone_number": "718-334-4952",
"fax_number": "718-334-4815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES",
"first_name": "JENNY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-02",
"last_updated": "2020-06-04",
"certification_date": "2020-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD15215",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D80866",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD457277",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ME",
"license": "MD20874",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "55066",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01077140A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301109330",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VT",
"license": "042.0013619",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DE",
"license": "C1-0011910",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA10037200",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "266685",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "242679",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02900681",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.