NPIMap

Organization Active NPI

Taolin C Jen MD PA

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1255473112
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0062966 Issued in FL
Legal business name
TAOLIN C JEN MD PA
Practice address
1820 Barrs Street
Suite 614
Jacksonville, FL 32204
Phone
(904) 387-9033
Fax
(904) 387-9561
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Dr. Taolin C Jen, MD
Title
President
Phone
(904) 387-9033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME0062966 FL Primary

Addresses

Primary practice location

1820 Barrs Street
Suite 614
Jacksonville, FL 32204

Mailing address

P O Box 551132
Jacksonville, FL 32255-1132
Phone (904) 387-9033

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1255473112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 551132",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322551132",
            "telephone_number": "904-387-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 BARRS STREET",
            "address_2": "SUITE 614",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32204",
            "telephone_number": "904-387-9033",
            "fax_number": "904-387-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAOLIN C JEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "JEN",
        "authorized_official_first_name": "TAOLIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-387-9033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0062966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.