Lisa Michelle Jenkins, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

217561 Issued in NY

Practice address

160 W 100TH St
New York, NY 10025-5145

Phone

(464) 841-2956

Fax

(646) 364-0780

NPI assigned

Jun 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1265468243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 W 100TH ST RM 226",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255145",
            "telephone_number": "646-484-1295",
            "fax_number": "646-364-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 W 100TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255145",
            "telephone_number": "464-841-2956",
            "fax_number": "646-364-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA068681",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "217561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0022217",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julianne Elizabeth Jenkins, PA-C
• Katherine Lenore Jenkins, M.D.
• Kendall Jenkins, M.D.
• Lee Clinton Jenkins, PH.D, LP
• Leticia Jenkins, LPN
• Megan Elizabeth Jenkins, M.D.
• Michael P. Jenkins, LCSW
• Paula Jenkins, LCSW
• Robert Jenkins
• Stefanie Marie Jenkins, LMSW

• Pediatrics Physician in New York, NY
• Providers in New York, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.