JACOB HARTMAN-KENZLER MD
NPI 1194472704
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Active since March 03, 2022
101 NICOLLS RD, STONY BROOK, NY 11794(631) 689-8333 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Hartman-kenzler Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB HARTMAN-KENZLER MD (NPI 1194472704) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1194472704
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB HARTMAN-KENZLERCredential: MD
Location Address101 NICOLLS RDStony Brook, NY 11794-0001
Mailing Address101 Nicolls RdStony Brook, NY 11794-0001 · (631) 689-8333
Sole ProprietorNo
Enumeration DateMarch 3, 2022
NPPES CertifiedMarch 3, 2022
NPI 1194472704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
101 NICOLLS RD, Stony Brook, NY 11794

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
101 NICOLLS RD
STONY BROOK, NY 11794
Internal Medicine (Gastroenterology)
101 NICOLLS RD
STONY BROOK, NY 11794
Social Worker (Clinical)
101 NICOLLS RD
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Hartman-kenzler's NPI number?

The NPI number for Jacob Hartman-kenzler is 1194472704. It was assigned to this individual provider in the NPPES registry on March 3, 2022.

Where is Jacob Hartman-kenzler located?

Jacob Hartman-kenzler practices at 101 Nicolls Rd, Stony Brook, NY 11794. The listed phone number is (631) 689-8333.

What is Jacob Hartman-kenzler's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacob Hartman-kenzler was last updated on March 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.