Healthcare Provider Details

I. General information

NPI: 1700872926
Provider Name (Legal Business Name): JENNIFER RIPEPI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JENNIFER SENDAK MD

II. Dates (important events)

Enumeration Date: 09/22/2005
Last Update Date: 10/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 STOOPS DR SUITE 310
MONONGAHELA PA
15063-3553
US

IV. Provider business mailing address

100 STOOPS DR SUITE 310
MONONGAHELA PA
15063-3553
US

V. Phone/Fax

Practice location:
  • Phone: 724-483-2040
  • Fax: 724-483-2190
Mailing address:
  • Phone: 724-483-2040
  • Fax: 724-483-2190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD043526E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: