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EDEN HEALTH MEDICAL PC
NPI 1407539059
Internal Medicine in New York, NY

Active since August 10, 2023CLIA 31D2190446 · Waiver
30 HUDSON YARDS FL 80, NEW YORK, NY 10001(917) 261-4414 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 13, 2024, Aug 10, 2023 (2 updates tracked since 2023).

About Eden Health Medical Pc NPPES

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

EDEN HEALTH MEDICAL PC (NPI 1407539059) is a healthcare organization registered as an internal medicine in New York, New York and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through August 12, 2026 and lists Donald Wayne Jenkins, President, as its authorized official.

NPPES Registry Identity

NPI1407539059
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEDEN HEALTH MEDICAL PC
Location Address30 HUDSON YARDS FL 80New York, NY 10001-2170
Mailing Address77 Goodell St Ste 510Buffalo, NY 14203-1258 · (917) 261-4414
Phone(917) 261-4414
Organization SubpartNo
Authorized OfficialDonald Wayne JenkinsPresident · (917) 261-4414
Enumeration DateAugust 10, 2023
Last NPPES UpdateSeptember 13, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2024
✔ NPI 1407539059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
30 HUDSON YARDS FL 80, New York, NY 10001
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2190446

Eden Health - Citadel Nj · Jersey City, NJ
Active · expires Aug 12, 2026
CLIA Number31D2190446
Laboratory TypeEmployer Worksite
Certificate Effective DateAugust 13, 2024
Certificate Expiration DateAugust 12, 2026
Laboratory DirectorDonald W. Jenkins
Laboratory Phone(917) 261-4414
Laboratory LocationEden Health - Citadel Nj30 Hudson Street, Jersey City, NJ 07302
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Eden Health Medical PC's NPI number?

The NPI number for Eden Health Medical PC is 1407539059. It was assigned to this organization in the NPPES registry on August 10, 2023.

Where is Eden Health Medical PC located?

Eden Health Medical PC is located at 30 Hudson Yards Fl 80, New York, NY 10001. The listed phone number is (917) 261-4414.

What is Eden Health Medical PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Eden Health Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2190446) is associated with this NPI, valid through August 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eden Health Medical PC was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.