MEDICARE: NAHASIAH IMANY JENKINS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1649061417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAHASIAH IMANY JENKINS

Provider Business Mailing Address
First Line	:	143 RUES LN
Second Line	:
City	:	EAST BRUNSWICK
State	:	NJ
Zip	:	08816-4241
Country	:	US
Telephone Number	:	347-981-5081
Fax Number	:

Provider Business Practice Location Address
First Line	:	143 RUES LN
Second Line	:
City	:	EAST BRUNSWICK
State	:	NJ
Zip	:	08816-4241
Country	:	US
Telephone Number	:	732-470-0112
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2025
Last Update Date	:	05/13/2025

Similar Medicare Providers

1932830015 — ARIEL HEALTHCARE
Practice Location Address:

137 RUES LN
EAST BRUNSWICK, NJ
08816-4241

Practice Phone: 929-434-8002
Practice Fax:

1568558336 — ROBERT N HENSINGER MD
Practice Location Address:

1500 EAST MEDICAL CENTER DR , 5TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL
ANN ARBOR, MI
48109-4241

Practice Phone: 734-936-5780
Practice Fax:

1194985143 — JENNIFER LYNN HELMAN MSN, CPNP
Practice Location Address:

1500 EAST MEDICAL CENTER DRIVE , 5TH FLOOR CS MOTT CHILDRENS HOSPITAL
ANN ARBOR, MI
48109-4241

Practice Phone: 734-936-5780
Practice Fax: 734-647-3291

1689656720 — EDWARD A DIPRETA MD
Practice Location Address:

3008 E PARK AVE
BRUNSWICK, GA
31520-4241

Practice Phone: 912-265-2142
Practice Fax: 912-265-0530

1962503037 — PERNICIARO LABORATORIES OF GEORGIA PC
Practice Location Address:

3008 E PARK AVE
BRUNSWICK, GA
31520-4241

Practice Phone: 912-265-2142
Practice Fax: 912-265-0530

1427159946 — CVP MD PC
Practice Location Address:

3008 E PARK AVE
BRUNSWICK, GA
31520-4241

Practice Phone: 912-265-2142
Practice Fax: 912-265-0530

Directions to “ NAHASIAH IMANY JENKINS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.