Active NPI
Jencare Neighborhood Medical Center Newburg, LLC
- Specialist
- Louisville, KY
National Provider Identifier
1861752644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- JENCARE NEIGHBORHOOD MEDICAL CENTER NEWBURG, LLC
- Practice address
- 1918 Hikes LN
Louisville, KY 40218-2598 - Phone
- (305) 653-1770
- NPI assigned
- May 25, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Chen
- Title
- Authorized Official
- Phone
- (305) 831-4722
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary | ||
| Non-Pharmacy Dispensing Site | 332900000X |
Addresses
Primary practice location
1918 Hikes LN
Louisville, KY 40218-2598
Mailing address
1395 NW 167TH St
Miami, FL 33169-5710
Phone (305) 628-6117
Other names 1
- JenCare Neighborhood Medical Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D2050839 | Jencare Neighborhood Medical | Certificate of waiver | Dec 6, 2026 |
National Provider Directory
National Provider DirectoryLocations
3939 7th Street Rd
Louisville, KY 40216
Phone (502) 775-1211
1918 Hikes Ln
Louisville, KY 40218
Phone (502) 473-4067
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Wauchula, FL
- NPI 1811352065
-
- Geriatric Medicine (Internal Medicine) Physician
- Louisville, KY
- NPI 1275626103
-
- Internal Medicine Physician
- Hollywood, FL
- NPI 1134304983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730332800000",
"number": "1861752644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1395 NW 167TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331695710",
"telephone_number": "305-628-6117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1918 HIKES LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402182598",
"telephone_number": "305-653-1770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENCARE NEIGHBORHOOD MEDICAL CENTER NEWBURG, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-25",
"last_updated": "2024-10-31",
"certification_date": "2024-10-31",
"status": "A",
"authorized_official_last_name": "CHEN",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "305-831-4722"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
},
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "JenCare Neighborhood Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Louisville, KY
- Angela Michelle Jeffries, M.D.
- Natalie Wise Jeffries, PA-C
- Dusan Mark Jeftinija, PHARM.D., PH.D.
- Tarun K Jella, MD
- Jamie Jemtrud
- Jencare Neighborhood Medical Center West Broadway, LLC
- Jencare Neighborhood Medical Valley Station, LLC
- Jesse Jenkins, M.D.
- Josephine Therese Jenkins, PTA
- Karen S Jenkins, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.