JENNIFER MCKENNA (NPI# 1336397488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336397488 |
| Entity Type | Individual |
| Full Name | JENNIFER MCKENNA |
| Credential | MD |
| Practice Address |
1111 Amsterdam Ave Dept of Medicine, St Lukes Hospital New York NY 10025-1716 |
| Mailing Address |
Po Box 95000-4145 Philadelphia PA 19195-0001 |
| Practice Telephone | 2125234403 |
| Mailing Telephone | 2125234403 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2012-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 254555 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770898694 | Jennifer Constance Mckenna | Nurse Practitioner | 1 Baltic Pl Ste 201a, Croton On Hudson, NY 10520-1641 | 2010-08-16 |
| 1427337286 | Jennifer Morales Mckenna | Pharmacist | 180 Passaic Ave, Fairfield, NJ 07004-3516 | 2011-08-11 |
| 1194847673 | Jennifer Ann Mckenna | Dietitian, Registered | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2007-04-04 |
| 1346328275 | Jennifer C Mckenna | Obstetrics & Gynecology | 109 Professional Pl, Carrollton, GA 30117-3862 | 2006-11-01 |
| 1700810041 | Jennifer A Mckenna | Nurse Practitioner | 330 Brookline Ave, Boston, MA 02215-5400 | 2006-07-11 |
| Street Address |
1111 AMSTERDAM AVE DEPT OF MEDICINE, ST LUKES HOSPITAL |
| City | NEW YORK |
| State | NY |
| Zip Code | 10025-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881690352 | Peter Rolf Holt | Internal Medicine | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2005-06-21 |
| 1396344867 | Joseph Jean Elias | Student in an Organized Health Care Education/Training Program | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-10-25 |
| 1174122568 | Juliana G. Arantes I | Physical Therapist | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-10-18 |
| 1457958597 | Keerthana Haridas | Student in an Organized Health Care Education/Training Program | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-10-01 |
| 1487268983 | Keivonna Nyarko | Nurse Practitioner | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-09-02 |
| 1457961161 | Gizelle Elena Perez | Nurse Practitioner | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-08-06 |
| 1609484641 | Minh Quan Vu | Student in an Organized Health Care Education/Training Program | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-07-15 |
| 1497370936 | Ami Shah | Pharmacist | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-06-10 |
| 1598388464 | Conor W Buckley | Student in an Organized Health Care Education/Training Program | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-05-26 |
| 1639792799 | Javier Joseph Zulueta | Internal Medicine | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-05-24 |
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| 1730795840 | Third Eye Acupuncture P.C. | Acupuncturist | 255 West 94th Street, Apt. 6k, New York, NY 10025 | 2020-09-23 |
| 1326653882 | Clare Elizabeth Dacey | Social Worker | 251 West 98th Street, Apartment 6-b, New York, NY 10025 | 2020-09-11 |
| 1528672870 | Alexandra E Lamm | Psychologist | 50 W 96th Street, Apt 5a-d, New York, NY 10025 | 2020-09-03 |
| 1700402310 | Jean Tully | Counselor | 240 W102nd St., #22a, New York, NY 10025 | 2020-06-19 |
| 1518591692 | Ethan Arthur Baker | Acupuncturist | 309 W. 99th St., Apt. 8b, New York City, NY 10025 | 2020-02-27 |
| 1083258321 | Lisanne Godnick | Social Worker | 210 W 101 St, Nyc, NY 10025 | 2019-10-30 |
| 1558910463 | Cherry Jones | Social Worker | 440 W 114th Street, Clark 6, New York, NY 10025 | 2019-09-04 |
| 1245894674 | Westside Nutrition Pllc | Dietitian, Registered | 240 West 102nd Street, Suite 15, New York, NY 10025 | 2019-05-01 |
| 1518429380 | Nathan Yehuda Ben Agi | Student in an Organized Health Care Education/Training Program | Mt. Sinai St. Lukes, 1111 Amsterdam Avenue, New York, NY 10025 | 2019-04-02 |
| 1366913196 | Mavis H Baird | Counselor | 243 W 99th St #3e, New York, NY 10025 | 2018-12-05 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.