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JENNIFER I DAVIS MD
NPI 1558524751
Pediatrics - Adolescent Medicine in Bronx, NY

Active since July 08, 2008PECOS Enrolled
240 E 172ND ST, B-100, BRONX, NY 10457(718) 410-4052(718) 410-4037 Get Directions Write a Review

NPPES record last updated: December 29, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jennifer I Davis Md NPPES

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

JENNIFER I DAVIS MD (NPI 1558524751) is an individual adolescent medicine provider in Bronx, New York, licensed in New York (243742) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558524751
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameJENNIFER I DAVISCredential: MD
Location Address240 E 172ND ST, B-100Bronx, NY 10457-8903
Mailing Address240 E 172nd St, B-100Bronx, NY 10457-8903 · (718) 410-4052 · Fax (718) 410-4037
Phone(718) 410-4052
Fax(718) 410-4037
Sole ProprietorNo
Enumeration DateJuly 8, 2008
Last NPPES UpdateDecember 29, 2011
✔ NPI 1558524751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in NY · 243742
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
240 E 172ND ST, Bronx, NY 10457
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer I Davis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jennifer Davis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Montefiore Medical Center
3.2 mi
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021
Nyu Langone Hospitals
7.6 mi
Internal Medicine
530 1ST AVE
New York, NY 10016
  • Reassigned Medicare billing, New York enrollment
  • 616 clinicians in this Medicare group
NPI 1790975944 (212) 460-0110

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

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

LORISA R THOMAS
Speech-Language Pathologist
240 E 172ND ST
BRONX, NY 10457
Bronx County (929) 365-5903
FREIZA GUZMAN
Social Worker
240 E 172ND ST
BRONX, NY 10457
Bronx County (718) 410-4052
MS. ANNA-MARIE CANDES OLIVERIO
Speech-Language Pathologist
240 E 172ND ST
BRONX, NY 10457
Bronx County (718) 410-4040
MONTEFIORE MEDICAL CENTER
Clinic/Center (Student Health)
240 E 172ND ST
BRONX, NY 10457
Bronx County (718) 293-9569

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 Jennifer Davis's NPI number?

The NPI number for Jennifer Davis is 1558524751. It was assigned to this individual provider in the NPPES registry on July 8, 2008.

Where is Jennifer Davis located?

Jennifer Davis practices at 240 E 172nd St B-100, Bronx, NY 10457. The listed phone number is (718) 410-4052.

What is Jennifer Davis's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Jennifer Davis enrolled in Medicare?

Yes. Jennifer Davis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jennifer Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Davis reassigns Medicare benefits to 2 organizations: Montefiore Medical Center (Bronx, NY) and Nyu Langone Hospitals (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Davis was last updated on December 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.