Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1003811811 Deactivated / Inactive NPI Male Practitioner

Dr. Jay W Eneman , MD

Orthopaedic Surgery • Long Beach, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jay Eneman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 17, 2005
NPI Deactivation Date March 20, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Jay Eneman, MD was a registered Orthopaedic Surgery practicing in Long Beach, NY. Throughout an active medical career spanning 1 years, Dr. Eneman provided care at the practice location at 780 LONG BEACH BLVD until profile deactivation on 2006-03-20.

Practice Location & Contact Primary Location

Practice Address

780 Long Beach Blvd

Long Beach, NY 115612238

Telephone 5168979000
Fax 5168978656
Associated Practice Facility / Clinic
🏢 Jay W Eneman Md, Pc Facility NPI 1295859841

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Long Beach, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.0 Yrs
State Avg: 27.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Long Beach, NY (1450 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License NY 132580

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthotic Fitter

NUCC Taxonomy Code: 225000000X

State License NY 132580

An individual trained in the management of fitting prefabricated orthoses.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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Updated Practice Location June 06, 2011

Registered at 780 LONG BEACH BLVD, LONG BEACH, NY 115612238 (Tel: 5168979000)

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Updated Business Mailing Address June 06, 2011

Registered at PO BOX 330, WOODMERE, NY 115980330 (Tel: 5168979000)

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Provider Name / Credentials Updated June 06, 2011

Recorded as JAY ENEMAN, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2011

Orthopaedic Surgery (License #132580 in NY)

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2011

Orthotic Fitter (License #132580 in NY)

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NPI Profile Reactivated March 31, 2006

Record officially reactivated for active practice on March 31, 2006

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NPI Profile Deactivated March 20, 2006

Record deactivated on March 20, 2006

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Initial NPI Registration & Enumeration June 17, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003811811
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2005
Last Update: June 06, 2011
Deactivation Date: March 20, 2006
Sole Proprietor: No

Mailing Address

Po Box 330

Woodmere, NY 115980330

Phone: 5168979000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.