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EDEN HEALTH MEDICAL OF NJ PC
NPI 1790395499
Internal Medicine in Buffalo, NY

Active since August 06, 2020
77 GOODELL ST STE 510, BUFFALO, NY 14203(917) 261-4414 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 13, 2024, Apr 14, 2023, May 11, 2022 and 1 more (4 updates tracked since 2020).

About Eden Health Medical Of Nj Pc NPPES

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

EDEN HEALTH MEDICAL OF NJ PC (NPI 1790395499) is a healthcare organization registered as an internal medicine in Buffalo, New York and active in the NPI registry since August 2020. The organization lists Donald Wayne Jenkins, President, as its authorized official.

NPPES Registry Identity

NPI1790395499
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEDEN HEALTH MEDICAL OF NJ PC
Location Address77 GOODELL ST STE 510Buffalo, NY 14203-1258
Mailing Address77 Goodell St Ste 510Buffalo, NY 14203-1258
Phone(917) 261-4414
Organization SubpartNo
Authorized OfficialDonald Wayne JenkinsPresident · (917) 261-4414
Enumeration DateAugust 6, 2020
Last NPPES UpdateSeptember 13, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2024
✔ NPI 1790395499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedPhysical TherapistTaxonomy 225100000X
77 GOODELL ST STE 510, Buffalo, NY 14203
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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

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.

EDEN HEALTH MEDICAL OF DE PA
Internal Medicine
77 GOODELL ST STE 510
BUFFALO, NY 14203
Erie County (917) 261-4414
EDEN HEALTH MEDICAL OF MA PC
Internal Medicine
77 GOODELL ST STE 510
BUFFALO, NY 14203
Erie County (917) 261-4414
EDEN HEALTH MEDICAL OF VA PC
Internal Medicine
77 GOODELL ST STE 510
BUFFALO, NY 14203
Erie County (917) 261-4414
EDEN HEALTH MEDICAL OF DC PC
Internal Medicine
77 GOODELL ST STE 510
BUFFALO, NY 14203
Erie County (917) 261-4414

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 Of Nj PC's NPI number?

The NPI number for Eden Health Medical Of Nj PC is 1790395499. It was assigned to this organization in the NPPES registry on August 6, 2020.

Where is Eden Health Medical Of Nj PC located?

Eden Health Medical Of Nj PC is located at 77 Goodell St Ste 510, Buffalo, NY 14203. The listed phone number is (917) 261-4414.

What is Eden Health Medical Of Nj PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Eden Health Medical Of Nj 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 23 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.