Basic Information
Provider Information | |||||||||
NPI: | 1639439219 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | NEWITT | ||||||||
FirstName: | JENNIFER | ||||||||
MiddleName: | L | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | M.D. | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 3459 5TH AVE | ||||||||
Address2: | DIVISION OF PACCM, UPMC MONTEFIORE HOSPITAL - NW628 | ||||||||
City: | PITTSBURGH | ||||||||
State: | PA | ||||||||
PostalCode: | 152133236 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 4126483098 | ||||||||
FaxNumber: |   | ||||||||
Practice Location | |||||||||
Address1: | 3459 5TH AVE | ||||||||
Address2: | DIVISION OF PACCM, UPMC MONTEFIORE HOSPITAL - NW628 | ||||||||
City: | PITTSBURGH | ||||||||
State: | PA | ||||||||
PostalCode: | 152133236 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 4126483098 | ||||||||
FaxNumber: |   | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 05/17/2012 | ||||||||
LastUpdateDate: | 10/10/2022 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: | 10/10/2022 |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | MD457447 | PA | N |   | Allopathic & Osteopathic Physicians | Pediatrics |   | 390200000X | MT210236 | PA | N |   | Student, Health Care | Student in an Organized Health Care Education/Training Program |   | 207RS0012X | MD457447 | PA | Y |   | Allopathic & Osteopathic Physicians | Internal Medicine | Sleep Medicine | 207R00000X | MD457447 | PA | N |   | Allopathic & Osteopathic Physicians | Internal Medicine |   | 207RC0200X | MD457447 | PA | N |   | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 207RP1001X | MD457447 | PA | N |   | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
No ID Information.