Jennifer Ann Conenna, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

010884 Issued in NY

Practice address

1500 Astor Ave
Suite 1E
Bronx, NY 10469-5900

Phone

(718) 652-0003

Fax

(347) 843-7841

NPI assigned

Jul 12, 2006

Last updated

Jan 18, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Miss Jennifer Ann Gigante Former name

Medicare fee-for-service enrollment

Enrolled in NY, SC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Infinite Wellness CenterGroup PAC ID 3072773555, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Infinite Wellness Center

  • Internal Medicine Physician
  • Fort Mill, SC
  • NPI 1962772764
  Medicare reassignment Care Compare group
• David J.Weissberg,MD,PC

  • Specialist
  • Huntington Station, NY
  • NPI 1093018913
  Medicare reassignment NPD (past)
• Miriam Kanter MD PC

  • Physical Medicine & Rehabilitation Physician
  • Richmond Hill, NY
  • NPI 1295863926
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263772800000",
    "number": "1558396127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ASTOR AVE",
            "address_2": "SUITE 1E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695900",
            "telephone_number": "718-652-0003",
            "fax_number": "347-843-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ASTOR AVE",
            "address_2": "SUITE 1E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695900",
            "telephone_number": "718-652-0003",
            "fax_number": "347-843-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONENNA",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA18210",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "010884",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "010884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GIGANTE",
            "middle_name": "ANN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maria Conde-Rojas
• Loismarie Dangazo Condeza
• Nana Condua
• Daisy Ewurakua Conduah, M.D.
• Efua Atta Kakra Conduah, LMSW
• Roselyn Conesa
• Toniann Conetta, M.S ECE
• Sarah Isaac Confeiteiro, LMHC
• Confessions of Freedom Mental Health Counselor
• Confident Care Inc.

• Surgical Physician Assistant in Bronx, NY
• Providers in Bronx, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.