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MS. LISA MICHELLE JENKINS M.D. NPI 1265468243


NPI Information

NPI: 1265468243
Provider Name: MS. LISA MICHELLE JENKINS, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
160 W 100TH ST
NEW YORK, NY
ZIP 10025
Phone: (464) 841-2956
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MS. Lisa Michelle Jenkins, M.D. is a pediatrics in New York, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MS. Lisa Michelle Jenkins, M.D. NPI is 1265468243. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

160 W 100TH ST
NEW YORK, NY
ZIP 10025-145
Phone: (464) 841-2956
Fax: (646) 364-0780

The enumeration date for this NPI number is 6/23/2006 and was last updated on 3/19/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics217561NEW YORKYes
2208000000XPediatricsMA068681NEW JERSEYNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10022217MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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