Individual
JENNIFER OWENSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2844
(718) 283-8894
(718) 635-7235
Mailing address
66 WEST GILBERT ST, RED BANK, NJ 07701
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA06519800
NJ
2080P0203X
Pediatric Critical Care Medicine Physician
213965
NY
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
25MA06519800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100712-01
AMERICHOICE
NY
05
—
0130001
—
NJ
05
—
02285165
—
NY
01
—
1000030187
AFFINITY HEALTH
NY
01
—
135460101
HEALTH PLUS
NY
01
—
213965-A15
HEALTH FIRST
NY
01
—
2246605
UNITED HEALTH CARE
NY
01
—
40N0391
NEIGHBORHOOD HEALTH
NY
01
—
4C4667
HEALTH NET
NY
01
—
8Q2301
EMPIRE BCBS
NY
Enumeration date
09/14/2005
Last updated
05/03/2024
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