Dr. Sean Enis, MD
General Practice in Englewood, New Jersey
1417104399- Practice location
- 189 Lyman Pl, Englewood, NJ 07631-3609
- Phone
- 917-945-9568
- Fax
- —
- Last updated
- January 30, 2017
Sean Enis is a General Practice based in Englewood, NJ. Sean Enis practices in Englewood, NJ and has the professional credentials of MD. The NPI Number for Sean Enis is 1417104399 and holds a License No. 25MA8167000 (NJ). The current practice location address for Sean Enis is 189 Lyman Pl, Englewood, NJ 07631-3609 and can be reached out via phone at 917-945-9568.
Provider Profile Details
- NPI Number
- 1417104399
- Provider Name
- Sean Enis
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 189 Lyman Pl, Englewood, NJ 07631-3609
- Phone Number
- 917-945-9568
- Primary Taxonomy
- General Practice · 208D00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 22, 2008
- Last Update Date
- January 30, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 189 Lyman Pl
Englewood, NJ 07631-3609 - City
- Englewood
- State
- New Jersey
- Zip
- 07631-3609
- Phone Number
- 917-945-9568
Provider Business Mailing Address Details
- Address
- 189 Lyman Pl
Englewood, NJ 07631-3609 - City
- Englewood
- State
- NJ
- Zip
- 07631-3609
- Phone Number
- 917-945-9568
License Information
- License Number (1)
- 25MA8167000
- License State (1)
- NJ
- Taxonomy (1)
- General Practice · 208D00000X · Primary
- License Number (2)
- 25MA08167000
- License State (2)
- NJ
- Taxonomy (2)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (3)
- 256649
- License State (3)
- NY
- Taxonomy (3)
- Radiology, Diagnostic Radiology · 2085R0202X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other General Practice providers near Englewood, NJ
View all General Practice providers in Englewood →Frequently Asked Questions
What is the NPI number of Dr. Sean Enis, MD?
The NPI number of Dr. Sean Enis, MD is 1417104399. It was assigned on August 22, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Sean Enis, MD?
Dr. Sean Enis, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in NJ under license number 25MA8167000.
Where does Dr. Sean Enis, MD practice?
The practice location is 189 Lyman Pl, Englewood, NJ 07631-3609. The office can be reached at 917-945-9568 (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 1417104399 directly on the NPPES registry website.