Janis L. Enzenbacher, MD, PLLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

162853-1 Issued in NY

Practice address

97 Cedar Hill Ave Ste 1B
Nyack, NY 10960-3703

Phone

(191) 432-5166

Fax

(845) 675-4986

NPI assigned

Oct 23, 2006

Last updated

Jun 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jaana Rehnstrom-Blane MD PC

  • Medical Specialty Clinic/Center
  • New York, NY
  • NPI 1760750954
  NPD (past)
• St.Uke's - West Care Medical Associates

  • Internal Medicine Physician
  • New York, NY
  • NPI 1013055284
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1821171703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 CEDAR HILL AVE STE 1B",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109603703",
            "telephone_number": "191-432-5166",
            "fax_number": "845-680-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 CEDAR HILL AVE STE 1B",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109603703",
            "telephone_number": "191-432-5166",
            "fax_number": "845-675-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENZENBACHER",
        "first_name": "JANIS",
        "middle_name": "L.",
        "credential": "MD, PLLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "162853",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "162853-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "162853-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rashiah Elam, MD
• Eleanor Health Professional NJ, LLC
• Elizabeth Bretz LCSW, P.C.
• Rania Eltoukhi
• Endion Medical Healthcare PC (Endion Seniorcare)
• Robert Sheldon Epstein, M.D.
• Wendy Anne Epstein, M.D.
• Erica Smuckler, LCSW, P.C. (Courageous Kids Counseling)
• Thamar Jean Esperance
• Raymond G Esposito, DC

• Gynecology Physician in Nyack, NY
• Providers in Nyack, NY by specialty
• Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.