Organization Active NPI

Jay W Eneman MD, PC

Doing business as Bridge Rehabilitation & Musculoskeletal Care

  • 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
Doing business as
Bridge Rehabilitation & Musculoskeletal Care
Practice address
780 Long Beach Blvd
Long Beach, NY 11561-2238
Phone
(516) 897-9000
Fax
(516) 897-9827
NPI assigned
Mar 19, 2007
Last updated
Feb 28, 2008By the provider in NPPES
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.NPI 1003811811
Title
President
Phone
(516) 897-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

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 names 1

  • BRIDGE REHABILITATION & MUSCULOSKELETAL CARE Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": [],
    "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.