Jennifer Enjem

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

025090-1 Issued in NY

Practice address

4747 Middle Settlement Rd
New Hartford, NY 13413-4983

Phone

(315) 793-8500

NPI assigned

Oct 2, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1649811449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2477 MOHAWK ST",
            "city": "SAUQUOIT",
            "state": "NY",
            "postal_code": "134563313",
            "telephone_number": "315-525-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 MIDDLE SETTLEMENT RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134134983",
            "telephone_number": "315-793-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1656 Champlin Ave",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135024830",
            "country_code": "US",
            "telephone_number": "315-624-6091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENJEM",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "025090-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam C Ellis, DC
• Emergency Medical Supply
• Emerging Vision Inc
• Giuseppina Sophia Emmanuele, PA
• Empire Vision Center Inc
• Lisa M Ennis, NP
• Michele Enos
• Eric B Yoss, MD
• Raymond Ermacor, DC
• Daniel Ernst, OT

• Pediatric Physical Therapist in New Hartford, NY
• Providers in New Hartford, NY by specialty
• Pediatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.