Active NPIIndividual provider

Jennifer Jdaidani, MD

Student in an Organized Health Care Education/Training Program in Staten Island, New York

NPI Number1164154027
Practice location
North Campus 475 Seaview Ave, Staten Island, NY 10305
Fax
—
Last updated
February 6, 2023

Jennifer Jdaidani is a Student in an Organized Health Care Education/Training Program based in Staten Island, NY. Jennifer Jdaidani practices in Staten Island, NY and has the professional credentials of MD. The NPI Number for Jennifer Jdaidani is 1164154027. The current practice location address for Jennifer Jdaidani is North Campus 475 Seaview Ave, Staten Island, NY 10305 and can be reached out via phone at 718-226-8313.

Provider Profile Details

NPI Number
1164154027
Provider Name
Jennifer Jdaidani
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
North Campus 475 Seaview Ave, Staten Island, NY 10305
Phone Number
718-226-8313
Sole Proprietor
No
Provider Enumeration Date
June 29, 2022
Last Update Date
February 6, 2023
Certification Date
February 6, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
North Campus 475 Seaview Ave
Staten Island, NY 10305
Zip
10305
Phone Number
718-226-8313
Staten Island, NY 10305Get directions →

Provider Business Mailing Address Details

Address
197 June Street
Worcester, MA 01602
City
Worcester
State
MA
Zip
01602
Phone Number
774-232-4577

License Information

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jennifer Jdaidani, MD?

The NPI number of Jennifer Jdaidani, MD is 1164154027. It was assigned on June 29, 2022 and is currently active in the NPPES registry.

What is the specialty of Jennifer Jdaidani, MD?

Jennifer Jdaidani, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Jennifer Jdaidani, MD practice?

The practice location is North Campus 475 Seaview Ave, Staten Island, NY 10305. The office can be reached at 718-226-8313 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164154027 directly on the NPPES registry website.

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