JENNA E HAFNER (NPI# 1992042840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992042840 |
| Entity Type | Individual |
| Full Name | JENNA E HAFNER |
| Credential | PA, DPT |
| Practice Address |
1365 Washington Ave Suite 100 Albany NY 12206-1068 |
| Practice Telephone | 5184351300 |
| Mailing Telephone | 5184351300 |
| Enumeration Date | 2013-01-12 |
| Last Update Date | 2015-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
019274-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
0110004150 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1365 WASHINGTON AVE SUITE 100 |
| City | ALBANY |
| State | NY |
| Zip Code | 12206-1068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879709 | Mark Lester Fruiterman | Internal Medicine | 1365 Washington Ave, Ste 300, Albany, NY 12206-1098 | 2005-05-23 |
| 1811448657 | Albany Medical Center Hospital | Clinic/Center | 1365 Washington Ave, Albany, NY 12206-1068 | 2016-10-17 |
| 1821441726 | Albany Medical Center Hospital | Nuclear Medicine | 1365 Washington Ave, Suite 204, Albany, NY 12206-1068 | 2016-07-15 |
| 1689059123 | Albany Medical College | General Practice | 1365 Washington Ave, Suite 200, Albany, NY 12206-1068 | 2015-07-27 |
| 1700204641 | Albany Medical Center Hospital | Clinical Medical Laboratory | 1365 Washington Ave, Albany, NY 12206-1098 | 2014-03-28 |
| 1508280389 | Albany Medical College | Internal Medicine | 1365 Washington Ave, Suite 300, Albany, NY 12206-1098 | 2014-02-13 |
| 1922361153 | Amy Lynn Santoro | Nurse Practitioner | 1365 Washington Ave, Suite 201, Albany, NY 12206-1068 | 2012-06-22 |
| 1215202973 | E Scott Macomber Md PC | Specialist | 1365 Washington Ave, Suite 200, Albany, NY 12206-1036 | 2012-03-14 |
| 1588960165 | Michael Dolen | Podiatrist | 1365 Washington Ave, Suite 300, Albany, NY 12206-1068 | 2011-01-31 |
| 1306157318 | Capital Region Open Mri, Inc | Clinic/Center | 1365 Washington Ave, Suite 103, Albany, NY 12206-1068 | 2010-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144749854 | Madena Lynn Henderson | Licensed Practical Nurse | 51 Garfield Pl, Albany, NY 12206 | 2017-09-13 |
| 1912456534 | Adeel A Janjua I | Contractor | 17 Roosevelt St, Albany, NY 12206 | 2016-09-23 |
| 1376901595 | Jacqueline Aimee Dall | Nurse Practitioner | 855 Central Avenue, Albany, NY 12206 | 2016-02-02 |
| 1326414210 | Sarah Walton | Pharmacist | 346 Central Ave, Albany, NY 12206 | 2015-08-14 |
| 1376932558 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave., Albany, NY 12206 | 2015-01-12 |
| 1679993828 | Lori S. Matulewicz | Nurse Practitioner | 500 Central Ave., Equinox, Inc., Albany, NY 12206 | 2014-04-25 |
| 1437417995 | Ernest Nicola Chisena | Orthopaedic Surgery | 1367 Washington Avenue Suite 200, Albany, NY 12206 | 2012-05-02 |
| 1629368519 | Joseph M Rozell | Radiology | 255 Patroon Creek Blvd Apt 3439, Albany, NY 12206 | 2011-04-12 |
| 1346542404 | Melissa June Kowlessar | Licensed Practical Nurse | 69 Benson Street, Albany, NY 12206 | 2010-11-23 |
| 1316109796 | Edmund John Mcgrath | Podiatrist | 911 Central Avenue #24, Albany, NY 12206 | 2008-06-27 |
| Find all providers in zip 12206 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922489384 | Jessica Patrizio | Physician Assistant | 25 Hackett Blvd # Mc69, Albany, NY 12208-3462 | 2015-06-11 |
| 1952799611 | Tezita Beemnet | Physician Assistant | 1712 E Broad Ave # Setc, Albany, GA 31705-2611 | 2015-01-05 |
| 1437485257 | Rebecca M Hosey | Physician Assistant | 116 Everett Road, Medical Pain Management Services, Pllc, Albany, NY 12205-1427 | 2009-10-29 |
| 1124185590 | Christine Elizabeth Mcgovern | Physician Assistant | 1400 Washington Ave, University Health Center, Albany, NY 12222-0100 | 2007-01-03 |
| 1508893157 | Cheryl J Perog | Physician Assistant | St. Peter's Hospitoal Occupational Health, 310 South Manning Boulevard, Albany, NY 12053 | 2006-06-27 |
| 1598744534 | Richard H Stowe Jr. | Physician Assistant | 425 W 3rd Ave Ste 550, Albany, GA 31701-1999 | 2006-01-10 |
| 1043218878 | John A Dennis | Physician Assistant | 1200 N Jefferson St, Albany, GA 31701-2057 | 2005-07-14 |
| 1265430326 | Dennis I. Silber | Physician Assistant | 2 Palisades Drive, Albany, NY 12205-1438 | 2005-07-12 |
| 1700496635 | Angela Cunningham | Physician Assistant | 43 New Scotland Ave, Albany, NY 12208-3412 | 2020-08-05 |
| 1629619846 | Daniel A Horton | Physician Assistant | 123 Everett Rd, Albany, NY 12205-1407 | 2019-09-30 |
| Find all providers in ALBANY | ||||
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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.