ELIZABETH DORCENA-JEUNE (NPI# 1598152555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598152555 |
| Entity Type | Individual |
| Full Name | ELIZABETH DORCENA-JEUNE |
| Credential | PA |
| Practice Address |
2698 Fredrick Douglass Boulevard New York NY 10039 |
| Mailing Address |
2698 Fredrick Douglass Blvd New York NY 10039 |
| Practice Telephone | 2129398950 |
| Practice Fax Number | 2129398973 |
| Mailing Telephone | 2129398950 |
| Mailing Fax Number | 2129398973 |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2016-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
018383 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2698 FREDRICK DOUGLASS BOULEVARD |
| City | NEW YORK |
| State | NY |
| Zip Code | 10039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689280117 | Princess Nailah Blackwell | Licensed Practical Nurse | 2844 Fredrick Douglas Blvd, Apt# 5c, New York, NY 10039 | 2020-09-21 |
| 1265927701 | Samara L Pelt | Behavioral Analyst | 700 Lenox Ave Apt 6e, New York, NY 10039 | 2018-06-27 |
| 1245774827 | Celeste Elena Simpson | Speech-Language Pathologist | 2589 Seventh Ave, P.s. 200 The James Mccune Smith School, New York, NY 10039 | 2016-12-15 |
| 1902268840 | Rangel Pharmacy Inc | Pharmacy | 159 12 Harlem River Dr, New York, NY 10039 | 2016-03-21 |
| 1407212319 | Daphney Nicolas | Early Intervention Provider Agency | 271 West 146 Street Apt #9, New York, NY 10039 | 2016-01-07 |
| 1083021133 | Andrea Kermack | Internal Medicine | 804 E 138th, Bronx, NY 10039 | 2014-07-21 |
| 1528335577 | Carlos Rafael Rodriguez | Internal Medicine | 2771 Frederick Douglass, New York, NY 10039 | 2011-11-18 |
| 1548578305 | Gspm Pharmacy Inc | Pharmacy | 2830 8th Ave, Pharmacy, New York, NY 10039 | 2010-09-15 |
| 1942524178 | Slrhc Faculty Practice | Internal Medicine | 2771 Frederick Douglass Boulevard, New York, NY 10039 | 2010-03-17 |
| 1700097987 | Brenda Joy Baulkman | Social Worker | 220 West 148th Street, #3n, New York, NY 10039 | 2007-05-27 |
| Find all providers in zip 10039 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169654 | Kristen Ariel O'connell | Physician Assistant | 85 John St Apt 7a, New York, NY 10038-2844 | 2020-09-22 |
| 1932737574 | Raheej Choudhary | Physician Assistant | 115 Broadway Rm 1300, New York, NY 10006-1600 | 2020-03-30 |
| 1992354534 | Herless S Sun | Physician Assistant | 506 Lenox Ave # Mlk2-105, New York, NY 10037-1802 | 2019-09-06 |
| 1134773781 | Kristin Goodkin | Physician Assistant | 170 E 108th St Apt 5, New York, NY 10029-3635 | 2019-07-31 |
| 1215580600 | Anna Catherine Kasprzak | Physician Assistant | 9 Nathan D Perlman Place, Bernstein Building, New York, NY 10003 | 2019-07-24 |
| 1366965774 | Christy Mcgorman | Physician Assistant | 100 East 77th. St., Lenox Hill Emergency Department, New York, NY 10075 | 2017-07-18 |
| 1891215562 | Steven Kahler | Physician Assistant | 67 Irving Pl Fl 5, New York, NY 10003-2255 | 2017-06-23 |
| 1255881157 | Ross Joseph Morgan IIi | Physician Assistant | 160 E 56th St Fl T12, New York, NY 10022-3609 | 2016-10-04 |
| 1659723021 | Woo Jung Kim | Physician Assistant | 131 W 35th St Ste 700, New York, NY 10001-2111 | 2016-07-08 |
| 1639538317 | Arielle Romm | Physician Assistant | 928 Broadway Ste 204, New York, NY 10010-8162 | 2016-02-23 |
| Find all providers in NEW YORK | ||||
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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.