Organization Active NPI

Engleman Clinical Staffing, LLC

  • Internal Medicine Physician
  • Granger, IN
National Provider Identifier
1477052454
Registry record updated Feb 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ENGLEMAN CLINICAL STAFFING, LLC
Practice address
14533 Sedgwick CT
Granger, IN 46530-4870
Phone
(574) 400-0668
Fax
(574) 400-0668
NPI assigned
Feb 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2018

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

Authorized official

Name
Dr. Jacqueline Mokfi, MD
Title
Owner
Phone
(574) 400-0668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

14533 Sedgwick CT
Granger, IN 46530-4870

Mailing address

14533 Sedgwick CT.
Granger, IN 46530
Phone (574) 400-0668

National Provider Directory

National Provider Directory

Locations

1420 E Douglas Rd
Mishawaka, IN 46545
Phone (574) 307-7200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17831/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517875200000",
    "number": "1477052454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14533 SEDGWICK CT.",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "46530",
            "telephone_number": "574-400-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14533 SEDGWICK CT",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465304870",
            "telephone_number": "574-400-0668",
            "fax_number": "574-400-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGLEMAN CLINICAL STAFFING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-02-06",
        "status": "A",
        "authorized_official_last_name": "MOKFI",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-400-0668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granger, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; 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.