Organization Active NPI

Jay W Eneman MD, PC

  • Orthopedic Physical Therapist
  • Long Beach, NY
National Provider Identifier
1295859841
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
132580 Issued in NY
Legal business name
JAY W ENEMAN MD, PC
Practice address
780 Long Beach Blvd
Long Beach, NY 11561-2238
Phone
(516) 897-9000
Fax
(516) 897-9827
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Jay W Eneman, M.D.
Title
President
Phone
(516) 897-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X 132580 NY Primary

Addresses

Primary practice location

780 Long Beach Blvd
Long Beach, NY 11561-2238

Mailing address

PO Box 330
Woodmere, NY 11598-0330
Phone (516) 897-9000

Other identifiers 1

IdentifierTypeStateIssuer
00492526MedicaidNY

Other names 1

  • BRIDGE REHABILITATION & MUSCULOSKELETAL CARE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1295859841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 330",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115980330",
            "telephone_number": "516-897-9000",
            "fax_number": "516-897-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 LONG BEACH BLVD",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612238",
            "telephone_number": "516-897-9000",
            "fax_number": "516-897-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY W ENEMAN MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "ENEMAN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-897-9000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "132580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00492526",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIDGE REHABILITATION & MUSCULOSKELETAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.