Debra Esernio-Jenssen, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD452408 Issued in PA

Practice address

17TH & Chew
Children's Clinic - Child Advocacy
Allentown, PA 18105-7017

Phone

(484) 633-0934

Fax

(484) 862-3138

NPI assigned

Nov 13, 2006

Last updated

Feb 8, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1952472045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17TH & CHEW",
            "address_2": "CHILDREN'S CLINIC - CHILD ADVOCACY",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181057017",
            "telephone_number": "484-633-0934",
            "fax_number": "484-862-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESERNIO-JENSSEN",
        "first_name": "DEBRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "158449",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME106764",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD452408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002141600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Devon Ervin, M.S.
• Giovanny Francisco Escribano
• Maria Escudero-Fung
• Rama Eskander, PAC
• Kimberly Esmond, PA
• Lucero Espejo
• Alanna Espenshade, PA-C
• Paula Espinal, M.S.

• Pediatrics Physician in Allentown, PA
• Providers in Allentown, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.