Organization Active NPI

Jensam LLC

  • Internal Medicine Physician
  • Rocky River, OH
National Provider Identifier
1497230874
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JENSAM LLC
Practice address
21851 Center Ridge Rd Ste 107
Rocky River, OH 44116-3901
Phone
(216) 221-7642
NPI assigned
Oct 1, 2018
Last updated
Oct 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Authorized official

Name
Gasan Nemr, MDNPI 1205803665
Title
MD/Owner
Phone
(216) 221-7642

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

21851 Center Ridge Rd Ste 107
Rocky River, OH 44116-3901

Mailing address

21851 Center Ridge Rd Ste 107
Rocky River, OH 44116-3901
Phone (216) 221-7642

National Provider Directory

National Provider Directory

Locations

21851 Center Ridge Rd
Ste 107
Rocky River, OH 44116
Phone (216) 221-7642

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": "1538352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538352000000",
    "number": "1497230874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21851 CENTER RIDGE RD STE 107",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163901",
            "telephone_number": "216-221-7642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21851 CENTER RIDGE RD STE 107",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163901",
            "telephone_number": "216-221-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENSAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-01",
        "status": "A",
        "authorized_official_last_name": "NEMR",
        "authorized_official_first_name": "GASAN",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "216-221-7642",
        "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 Rocky River, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.