Healthcare Provider Details

I. General information

NPI: 1942298245
Provider Name (Legal Business Name): JENNIFER ELLEN PREISS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2005
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 BUTLER ST STE 100
PITTSBURGH PA
15201-2658
US

IV. Provider business mailing address

651 HOLIDAY DR STE 100
PITTSBURGH PA
15220-2740
US

V. Phone/Fax

Practice location:
  • Phone: 412-441-9786
  • Fax:
Mailing address:
  • Phone: 412-922-8490
  • Fax: 412-921-1194

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD045204L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD045204L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: