JENNIFER OWENSBY
NPI 1942295076
Pediatrics - Pediatric Critical Care Medicine in Brooklyn, NY

Active since September 14, 2005PECOS Enrolled
4802 10TH AVE, BROOKLYN, NY 11219(718) 283-8894(718) 635-7235 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 3, 2024, Apr 10, 2024 (2 updates tracked since 2024).

About Jennifer Owensby NPPES

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

JENNIFER OWENSBY (NPI 1942295076) is an individual pediatric critical care medicine provider in Brooklyn, New York, licensed in New Jersey (25MA06519800) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942295076
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameJENNIFER OWENSBY
Location Address4802 10TH AVEBrooklyn, NY 11219-2844
Mailing Address66 West Gilbert StRed Bank, NJ 07701 · (732) 212-0051 · Fax (732) 212-0713
Fax(718) 635-7235
Sole ProprietorYes
Enumeration DateSeptember 14, 2005
Last NPPES UpdateMay 3, 20242 updates tracked since enumeration
NPPES CertifiedMay 3, 2024
NPI 1942295076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
Licenses Licensed in NJ · 25MA06519800 Licensed in NY · 213965
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License 25MA06519800 (NJ)
4802 10TH AVE, Brooklyn, NY 11219

Other Identifiers 10

Medicaid02285165NY
Other0100712-01NY · Americhoice
Other1000030187NY · Affinity Health
Other135460101NY · Health Plus
Other40N0391NY · Neighborhood Health
Other4C4667NY · Health Net
Other2246605NY · United Health Care
Other8Q2301NY · Empire Bcbs
Other213965-A15NY · Health First
Medicaid0130001NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jennifer Owensby 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.

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.

Legal Medicine
4802 10TH AVE
BROOKLYN, NY 11219
Nurse Practitioner (Psychiatric/Mental Health)
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Nurse Practitioner (Family)
4802 10TH AVE, PRE-TESTING
BROOKLYN, NY 11219
Internal Medicine (Infectious Disease)
4802 10TH AVE
BROOKLYN, NY 11219

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 Owensby's NPI number?

The NPI number for Jennifer Owensby is 1942295076. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Where is Jennifer Owensby located?

Jennifer Owensby practices at 4802 10th Ave, Brooklyn, NY 11219. The listed phone number is (718) 283-8894.

What is Jennifer Owensby's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Jennifer Owensby enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jennifer Owensby was last updated on May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.