Individual provider Active NPI

Vanessa Jenkins, PROVIDER

  • Specialist
  • Bronx, NY
National Provider Identifier
1578225710
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
3175 E Tremont Ave FL 2
Bronx, NY 10461-5700
Phone
(718) 239-8239
NPI assigned
Oct 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NY Primary

Addresses

Primary practice location

3175 E Tremont Ave FL 2
Bronx, NY 10461-5700

Mailing address

491 Gerard Ave Apt 3B
Bronx, NY 10451-5367
Phone (347) 380-2481

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Bronx
CONNECT URL Bronx

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ability Builders for Children, LLC PastSince Oct 10, 2021 Accepting new patients
Ability Builders for Children, LLC PastSince Oct 10, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1578225710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 GERARD AVE APT 3B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515367",
            "telephone_number": "347-380-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 E TREMONT AVE FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615700",
            "telephone_number": "718-239-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "VANESSA",
        "credential": "PROVIDER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bronx",
            "affiliation": "N",
            "address_1": "491 Gerard Ave Apt 3B",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104515367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bronx",
            "affiliation": "N",
            "address_1": "491 Gerard Ave Apt 3B",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104515367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.