Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eden Health Medical of Nj PC

Organization Counselor · NPI 1790395499

Eden Health Medical of Nj PC is a Counselor in Buffalo, New York. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

77 Goodell St Ste 510
Buffalo, NY 14203-1258
Phone: (917) 261-4414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Counselor Taxonomy 101Y00000X
Physical Therapist Taxonomy 225100000X

Record details

NPI number1790395499
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Jenkins — President · (917) 261-4414
NPI enumeratedAugust 6, 2020
Last updated in NPPESSeptember 13, 2024
Certification dateSeptember 13, 2024
Mailing address77 Goodell St Ste 510, Buffalo, NY 14203-1258

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