NPIMap

Organization Active NPI

Jaana Rehnstrom-Blane MD PC

  • Medical Specialty Clinic/Center
  • New York, NY
National Provider Identifier
1760750954
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
167336 Issued in NY
Legal business name
JAANA REHNSTROM-BLANE MD PC
Practice address
103 5TH Ave
New York, NY 10003-1009
Phone
(212) 366-4765
NPI assigned
Dec 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Authorized official

Name
Dr. Jaana Viveca Rehnstrom, M.D.
Title
President
Phone
(212) 366-4765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 167336 NY Primary

Addresses

Primary practice location

103 5TH Ave
New York, NY 10003-1009

Mailing address

103 Fifth Avenue
New York, NY 10003-1009
Phone (212) 366-4765

National Provider Directory

National Provider Directory

Locations

103 5th Ave
New York, NY 10003
Phone (212) 366-4765

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1760750954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 FIFTH AVENUE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031009",
            "telephone_number": "212-366-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031009",
            "telephone_number": "212-366-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAANA REHNSTROM-BLANE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-02",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "REHNSTROM",
        "authorized_official_first_name": "JAANA",
        "authorized_official_middle_name": "VIVECA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-366-4765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "167336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.