Individual provider Active NPI

Jaana Viveca Rehnstrom, MD, MPH

  • Gynecology Physician
  • New York, NY
National Provider Identifier
1548346844
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
167336 Issued in NY
Practice address
103 5TH Ave
3Rd FL.
New York, NY 10003-1009
Phone
(212) 366-4765
NPI assigned
Oct 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 167336 NY Primary

Addresses

Primary practice location

103 5TH Ave
3Rd FL.
New York, NY 10003-1009

Mailing address

44A Morton St
New York, NY 10014-4021
Phone (212) 242-8747

Other names 1

  • Jaana Rehnstrom-Blane Professional name

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
167336NYMDGynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1162080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548346844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44A MORTON ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100144021",
            "telephone_number": "212-242-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 5TH AVE",
            "address_2": "3RD FL.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031009",
            "telephone_number": "212-366-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHNSTROM",
        "first_name": "JAANA",
        "middle_name": "VIVECA",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "167336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAANA",
            "last_name": "REHNSTROM-BLANE",
            "credential": "MD, MPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jul 8, 2007; 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.