NPIMap

Organization Active NPI

Rejuvenate Health Medical, LLC

  • Gynecology Physician
  • Bluffton, SC
National Provider Identifier
1770205379
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
REJUVENATE HEALTH MEDICAL, LLC
Practice address
53 Persimmons St Ste 105
Bluffton, SC 29910-7656
Phone
(843) 757-7836
Fax
(843) 757-7837
NPI assigned
Sep 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Authorized official

Name
Jenny Newcomb
Title
Contact
Phone
(631) 736-4064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

53 Persimmons St Ste 105
Bluffton, SC 29910-7656

Mailing address

53 Persimmons St
Bluffton, SC 29910-7655
Phone (843) 757-7836

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL CONNECTURL
CONNECT URL bluffton Direct

National Provider Directory

National Provider Directory

Locations

761 Middle Country Rd
Ste 1
Selden, NY 11784

53 Persimmon St
Bluffton, SC 29910

Practitioners & affiliated clinicians

Practitioners 5

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": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1770205379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 PERSIMMONS ST",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299107655",
            "telephone_number": "843-757-7836",
            "fax_number": "843-757-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 PERSIMMONS ST STE 105",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299107656",
            "telephone_number": "843-757-7836",
            "fax_number": "843-757-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATE HEALTH MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "NEWCOMB",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "CONTACT",
        "authorized_official_telephone_number": "631-736-4064"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CONNECTURL",
            "affiliation": "N",
            "address_1": "53 Persimmons St",
            "city": "Bluffton",
            "state": "SC",
            "country_code": "US",
            "postal_code": "299107655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bluffton",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "53 Persimmons St Ste 105",
            "city": "Bluffton",
            "state": "SC",
            "country_code": "US",
            "postal_code": "299107656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.