Active NPI
Emily Jen, M.D., PH.D.
- Pediatrics Physician
- Saint Louis, MO
National Provider Identifier
1609193036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- BP1-0037536
- Practice address
- 4901 Forest Park Ave
Saint Louis, MO 63108-1402 - Phone
- (314) 454-4327
- NPI assigned
- Apr 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | BP1-0037536 | TX | Primary |
Addresses
Primary practice location
4901 Forest Park Ave
Saint Louis, MO 63108-1402
Mailing address
4901 Forest Park Ave
Saint Louis, MO 63108-1402
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
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP1-0037536 | TX | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369958400000",
"number": "1609193036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 FOREST PARK AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631081402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 FOREST PARK AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631081402",
"telephone_number": "314-454-4327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEN",
"first_name": "EMILY",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-25",
"last_updated": "2013-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "BP1-0037536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.