Jenoff, Jay S

Jenoff, Jay S is an individual health care provider with primary practice located at 1100 Walnut St Suite 500, Philadelphia PA 19107-5563. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Jenoff, Jay S can be contacted via phone (215) 955-6750.

Contact Information

Primary practice address
1100 Walnut St Suite 500 Philadelphia PA 19107-5563
Fax: (215) 923-8222
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD417734 Pennsylvania
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X MD417734 Pennsylvania

Profile Details

NPI number 1649323882
LBN Legal business name Jenoff, Jay S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Apr 15th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649323882 NPPES
New Jersey MEDICAID 0126624
New Jersey MEDICAID 1018350610005

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