DR. MARVIN EEVAN JENNINGS (NPI# 1336115518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336115518 |
| Entity Type | Individual |
| Full Name | DR. MARVIN EEVAN JENNINGS |
| Credential | D.P.M. |
| Practice Address |
3307 Hunter Ave Apt 1 Bronx NY 10475-1543 |
| Practice Telephone | 7186765262 |
| Mailing Telephone | 7186765262 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
N004966-1 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01281429 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053459263 | Marvin Joel Jennings | Audiologist | 950 W University Ave, Georgetown, TX 78626-6505 | 2007-02-01 |
| Street Address |
3307 HUNTER AVE APT 1 |
| City | BRONX |
| State | NY |
| Zip Code | 10475-1543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973048 | Sharon Antoinette Hall | Registered Nurse | 2552 Pelham Bay Park West, Apt 1 D, 2551 Pelham Bay Park West, Bronx, NY 10475 | 2019-07-11 |
| 1265912042 | Bartow Pharmacy Inc. | Pharmacy | 500-5 Baychester Ave. Store #5, Bronx, NY 10475 | 2018-08-21 |
| 1518465996 | Jacqueline Caraballo | Nurse Practitioner | 100 De Kruif Place Apt 27h, Bronx, NY 10475 | 2018-01-31 |
| 1093227142 | Rachel Obeng Mireku | Licensed Practical Nurse | 140 Dekruif Place, Apt # 26k, Bronx, NY 10475 | 2017-10-30 |
| 1023534518 | Nelson Merritt Hall | Chiropractor | 2100 Bartow Ave, Ste #227, Bronx, NY 10475 | 2017-08-17 |
| 1245769363 | Sharon Holland Johnson | Licensed Practical Nurse | 140 Dekruif Pl, Bronx, NY 10475 | 2017-06-12 |
| 1740719152 | Nadia S Etienne | Licensed Practical Nurse | 120 De Kruif Place, Apt 18h, Bronx, NY 10475 | 2017-06-08 |
| 1407385891 | Ashley N Freeze | Case Manager/Care Coordinator | 140 Darrow Place Suite 24e, Bronx, NY 10475 | 2017-06-08 |
| 1912454091 | Usth.inc | Early Intervention Provider Agency | 120 Coop City Blvd, 21-f, Bronx, NY 10475 | 2016-09-06 |
| 1447626130 | Zelda Boomer | Registered Nurse | 920 Coop City Blvd Bx. Ny 10475, Bronx, NY 10475 | 2015-08-17 |
| Find all providers in zip 10475 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649418567 | Keystone Podiatry | Podiatrist | 3040 E Tremont Ave Rm 101, Bronx, NY 10461-5733 | 2009-01-30 |
| 1699983650 | Stephanie Barbara Phillips | Podiatrist | 140 Einstein Loop, Suite 13d, Bronx, NY 10475-4903 | 2007-05-21 |
| 1487781589 | Jerome B Leff | Podiatrist | 2665 Netherland Ave, Bronx, NY 10463-4808 | 2007-02-27 |
| 1013063080 | Pelham Podiatry Group PC | Podiatrist | 1015 Morris Park Avenue, Bronx, NY 10462 | 2007-01-25 |
| 1922173350 | Michael Merenstein | Podiatrist | 3636 Fieldston Rd, Suite 1j, Bronx, NY 10463-2034 | 2006-11-21 |
| 1588631816 | Enid Goris | Podiatrist | 1827 Edison Ave, Bronx, NY 10461-4101 | 2006-03-06 |
| 1558335141 | Deardre L Nadel | Podiatrist | 2550 Webb Ave, Apt 1h, Bronx, NY 10468-3930 | 2006-02-13 |
| 1316481120 | The Podiatric Surgeon, P.C. | Podiatrist | 4240 Hutchinson River Pkwy E, Bronx, NY 10475-4746 | 2016-12-13 |
| 1881061661 | Joann Bilello | Podiatrist | 820 Lydig Ave, Bronx, NY 10462-2106 | 2015-08-27 |
| 1891123410 | Tri-boro Podiatry Pllc | Podiatrist | 953 Southern Blvd, Lobby, Bronx, NY 10459-3428 | 2013-10-16 |
| Find all providers in BRONX | ||||
Please comment or provide details below to improve the information on DR. MARVIN EEVAN JENNINGS.
| 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.