JENNA BUTNER MD NPI 1316258775

NPI Information

NPI: 1316258775
Provider Name: JENNA BUTNER, MD
Classification: Preventive Medicine - 2083A0300X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
13405 ROCKAWAY BLVD
SOUTH OZONE PARK, NY
ZIP 11420
Phone: (718) 323-9700
Get Directions

Jenna Butner, MD is an addiction medicine preventive medicine in South Ozone Park, NY with 15 years of experience. The provider is a physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. Jenna Butner, MD NPI is 1316258775. 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:

13405 ROCKAWAY BLVD
SOUTH OZONE PARK, NY
ZIP 11420-020
Phone: (718) 323-9700
Fax: (718) 323-0300

The NPI 1316258775 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/30/2010 and was last updated on 9/21/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		270676	NEW YORK	No
2	207Q00000X	Family Medicine		053322	CONNECTICUT	No
3	207QA0505X	Family Medicine	Adult Medicine	MD17941	RHODE ISLAND	No
4	207R00000X	Internal Medicine		53322	CONNECTICUT	No
5	207RA0401X	Internal Medicine	Addiction Medicine	053322	CONNECTICUT	No
6	2083A0300X	Preventive Medicine	Addiction Medicine	270676	NEW YORK	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D400172220	OTHER	CONNECTICUT	BUTNER MEDICARE
2	008039745	OTHER	CONNECTICUT	PCS MEDICAID (BPT)
3	004217099	OTHER	CONNECTICUT	PCS MEDICAID NH
4	008053091	OTHER	CONNECTICUT	DR. BUTNER MEDICAID #

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: 5/5/2024

NPI Synchronization or Removal

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