MRS. JENNIFER ANN CONENNA PA NPI 1558396127

NPI Information

NPI: 1558396127
Provider Name: MRS. JENNIFER ANN CONENNA, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
1500 ASTOR AVE
SUITE 1E
BRONX, NY
ZIP 10469
Phone: (718) 652-0003
Get Directions

MRS. Jennifer Ann Conenna, PA is a surgical physician assistant in Bronx, NY. MRS. Jennifer Ann Conenna, PA NPI is 1558396127. 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:

1500 ASTOR AVE
SUITE 1E
BRONX, NY
ZIP 10469-900
Phone: (718) 652-0003
Fax: (347) 843-7841

The NPI 1558396127 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 7/12/2006 and was last updated on 1/18/2010.

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	363A00000X	Physician Assistant		010884	NEW YORK	No
2	363A00000X	Physician Assistant		PA18210	CALIFORNIA	No
3	363AS0400X	Physician Assistant	Surgical	010884	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	Q67897	MEDICARE UPIN	CALIFORNIA

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: 11/14/2023

NPI Synchronization or Removal

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