Active NPI
Jay W Eneman MD, PC
- Orthopedic Physical Therapist
- Long Beach, NY
National Provider Identifier
1295859841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 132580
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00492526 | Medicaid | NY |
Other names 1
- BRIDGE REHABILITATION & MUSCULOSKELETAL CARE
National Provider Directory
National Provider DirectoryNPI 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.