JUSTIN HENNEMAN M.D.
NPI 1376938472
Emergency Medicine in Roslyn, NY

Active since April 06, 2015
100 PORT WASHINGTON BLVD, EMERGENCY DEPARTMENT, ROSLYN, NY 11576(516) 562-6000 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2021, Jul 5, 2019 (2 updates tracked since 2019).

About Justin Henneman M.d. NPPES

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

JUSTIN HENNEMAN M.D. (NPI 1376938472) is an individual emergency medicine provider in Roslyn, New York, licensed in New York (298560) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1376938472
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJUSTIN HENNEMANCredential: M.D.
Location Address100 PORT WASHINGTON BLVD, EMERGENCY DEPARTMENTRoslyn, NY 11576
Mailing Address28 Woodridge LnSea Cliff, NY 11579-1934 · (413) 454-4437
Sole ProprietorNo
Enumeration DateApril 6, 2015
Last NPPES UpdateMarch 5, 20212 updates tracked since enumeration
NPPES CertifiedMarch 5, 2021
NPI 1376938472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NY · 298560
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
100 PORT WASHINGTON BLVD, Roslyn, NY 11576

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.

Nurse Practitioner (Acute Care)
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Internal Medicine (Clinical Cardiac Electrophysiology)
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Physician Assistant
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Pediatrics (Pediatric Cardiology)
100 PORT WASHINGTON BLVD, SUITE 108
ROSLYN, NY 11576
Physician Assistant
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Physician Assistant
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Emergency Medicine
100 PORT WASHINGTON BLVD, DEPT OF EMERGENCY MEDICINE
ROSLYN, NY 11576
Nurse Practitioner (Family)
100 PORT WASHINGTON BLVD, ST. FRANCIS HOSPITAL EMERGENCY ROOM
ROSLYN, NY 11576

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 Justin Henneman's NPI number?

The NPI number for Justin Henneman is 1376938472. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Where is Justin Henneman located?

Justin Henneman practices at 100 Port Washington Blvd Emergency Department, Roslyn, NY 11576. The listed phone number is (516) 562-6000.

What is Justin Henneman's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Justin Henneman was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.