Active NPI
Jacob Johannes Clarenbach, M.D.
- Hospitalist Physician
- Bronx, NY
National Provider Identifier
1700052032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 265933
- Practice address
- 111 E 210TH St
Montefiore Medical Center, Div. of Hospital Medicine
Bronx, NY 10467-2401 - Phone
- (718) 920-2889
- Fax
- (718) 920-2058
- NPI assigned
- May 6, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 265933 | NY | Primary |
| Nephrology Physician | 207RN0300X | 265933 | NY |
Addresses
Primary practice location
111 E 210TH St
Montefiore Medical Center, Div. of Hospital Medicine
Bronx, NY 10467-2401
Mailing address
111 E 210TH St
Montefiore Medical Center, Div. of Hospital Medicine
Bronx, NY 10467-2401
Phone (718) 920-2889
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
| License | State | Type | Specialty |
|---|---|---|---|
| 265933 | NY | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365638400000",
"number": "1700052032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E 210TH ST",
"address_2": "MONTEFIORE MEDICAL CENTER, DIV. OF HOSPITAL MEDICINE",
"city": "BRONX",
"state": "NY",
"postal_code": "104672401",
"telephone_number": "718-920-2889",
"fax_number": "718-920-2058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E 210TH ST",
"address_2": "MONTEFIORE MEDICAL CENTER, DIV. OF HOSPITAL MEDICINE",
"city": "BRONX",
"state": "NY",
"postal_code": "104672401",
"telephone_number": "718-920-2889",
"fax_number": "718-920-2058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARENBACH",
"first_name": "JACOB",
"middle_name": "JOHANNES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-06",
"last_updated": "2013-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "265933",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "265933",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"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 Apr 11, 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.