Active NPI
Jean Ann Whitten, P.A.
- Physician Assistant
- New York, NY
National Provider Identifier
1427270123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 002010
- Practice address
- 75 Maiden LN
Suite 1206
New York, NY 10038-4810 - Phone
- (212) 995-6495
- Fax
- (212) 844-6772
- NPI assigned
- May 3, 2007
- Last updated
- Oct 3, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002010 | NY | Primary |
Addresses
Primary practice location
75 Maiden LN
Suite 1206
New York, NY 10038-4810
Mailing address
55 5TH Ave
Ste 1902
New York, NY 10003-4301
Phone (646) 602-8030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002010 | NY | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Pain Management-Anesthesia Services, P.C. | Past | Accepting new patients | |
| Comprehensive Pain Management and Spine Care, PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/77186
- https://fhir4.healow.com/fhir/r4/BHHDBA
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pain Medicine (Anesthesiology) Physician
- New York, NY
- NPI 1346714664
-
- Interventional Pain Medicine Physician
- New York, NY
- NPI 1174661722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475452800000",
"number": "1427270123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 5TH AVE",
"address_2": "STE 1902",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100034301",
"telephone_number": "646-602-8030",
"fax_number": "646-602-9154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 MAIDEN LN",
"address_2": "SUITE 1206",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100384810",
"telephone_number": "212-995-6495",
"fax_number": "212-844-6772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITTEN",
"first_name": "JEAN",
"middle_name": "ANN",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2016-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "002010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.