Jennan Comprehensive Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JENNAN COMPREHENSIVE MEDICAL PC

Practice address

762 59TH St
Brooklyn, NY 11220-3936

Phone

(718) 567-8899

Fax

(718) 765-0383

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Katherine Ma

Title

Administrator

Phone

(718) 567-8899

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1831284512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 59TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203936",
            "telephone_number": "718-567-8899",
            "fax_number": "718-765-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 59TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203936",
            "telephone_number": "718-567-8899",
            "fax_number": "718-765-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNAN COMPREHENSIVE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-567-8899",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02867976",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Norma Jenkins, RN
• Rachel Ann Jenkins
• Tina R Jenkins, LPN
• Zyeshia Jenkins
• John J Jenks, DDS
• Jennifer Blanco NP in Psychiatry PC
• Jennifer C. Paige-Singh, LCSW, PLLC
• Jennifer C. Paige-Singh, LCSW, PLLC
• Jennifer Delassio Turchi Inc.
• Jennifer Destiny Diaz

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.