JENNIFER DENOFA


Address: Rear 307 Laird St., Wilkes-barre, PA 18702
Phone: 5704089320

JENNIFER DENOFA (NPI# 1366648792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366648792
Entity Type Individual
Full Name JENNIFER DENOFA
Credential MSW
Practice Address Rear 307 Laird St.
Wilkes-barre
PA 18702
Mailing Address 51 Holiday Dr., Apt. 109
Kingston
PA 18704
Practice Telephone 5704089320
Practice Fax Number 5704089324
Mailing Telephone 6107030152
Mailing Fax Number 5704089324
Enumeration Date 2007-06-22
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2800X Clinic/Center
Specialization: Methadone Clinic
Ambulatory Health Care Facilities

Office Location

Street Address REAR 307 LAIRD ST.
City WILKES-BARRE
State PA
Zip Code 18702

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831418847 Ashely Wirbicki Counselor Rear 307 Laird St., Choices Program of Wyoming Valley, Wilkes-barre, PA 18702 2010-06-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477153161 Joann Bonn Pharmacist 441 Wilkes-barre Township Blvd, Wilkes-barre, PA 18702 2020-10-30
1689213167 Megan Grace Zanghi Pharmacist 58-60 Public Square, 4th Floor, Wilkes-barre, PA 18702 2019-12-31
1467013292 Kelly Rose Sones Pharmacist 58/60 Public Square, Wilkes-barre, PA 18702 2019-06-24
1528520186 Adam Olivetti Pharmacist 58-60 Public Square, Wilkes-barre, PA 18702 2019-04-03
1295220648 Dental Associates of Nepa PC Dentist 360 Kidder Street, Suite 5, Wilkes Barre, PA 18702 2018-06-28
1568983245 Bio-medical Applications of Pennsylavania, Inc. Clinic/Center 309 Laird St, Wilkes-barre, PA 18702 2017-07-03
1538615166 Elsa Gates Nurse Practitioner 100 East Mountain Blvd, Geisinger, Wilkes Barre, PA 18702 2016-09-01
1972990455 Epeople Health Care Inc. Home Health 1092 Route 315, Ste 3, Wilkes Barre, PA 18702 2015-04-22
1063819001 Visionworks, Inc. Eyewear Supplier (Equipment, not the service) 277 Mundy St, Suite 101, Wilkes Barre, PA 18702 2014-11-19
1356764013 Jill Stacchiotti Speech-Language Pathologist 2 Salem Drive, Laflin, PA 18702 2014-01-30
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Taxonomy Information

Taxonomy Code 261QM2800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Methadone Clinic

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568583474 Luzerne Wyoming County Mh Center #1 Clinic/Center R 307 Laird Street, Wilkes-barre, PA 18702 2007-04-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1942779467 Polaris Renewal Services II Clinic/Center 2262 University Dr, Lemont Furnace, PA 15456-1332 2018-11-14
1861911554 Pinnacle Treatment Centers Pa-viii, LLC Clinic/Center 15 Arentzen Blvd, Charleroi, PA 15022-1060 2017-09-13
1952854408 Medmark Treatment Centers of Pennsylvania, Inc Clinic/Center 1984 Route 22, Blairsville, PA 15717-1264 2016-08-02
1346697794 Pinnacle Treatment Centers Pa-vii, LLC Clinic/Center 120 Penn Street, Hanover, PA 17331 2016-05-16
1861846438 Fayette Treatment Center, LLC Clinic/Center 2695 E Roy Furman Hwy, Carmichaels, PA 15320-2434 2016-04-20
1851745566 Kensington Hospital Outpatient Treatment Program Clinic/Center 2100 N Front St, Philadelphia, PA 19122-1705 2016-04-19
1992170930 Echo Treatment Center LLC Clinic/Center 50 E Wylie Ave Ste 2, Washington, PA 15301-2059 2015-12-02
1184016651 Thw Group LLC Clinic/Center 7900 Frankford Ave, Philadelphia, PA 19136-3041 2015-02-20
1316341605 Pinnacle Treatment Centers Pa-iv, LLC Clinic/Center 3121 Smallman St, Pittsburgh, PA 15201-1425 2014-10-15
1609270263 Ars of Pennsylvania LLC Clinic/Center 3433 Trindle Rd, Camp Hill, PA 17011-4434 2014-10-10
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Competitor

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City WILKES-BARRE
Zip Code 18702

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Dataset Information

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.

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