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

Joshua Jennerjahn

Individual provider Medical Physician Assistant · NPI 1013730993

Joshua Jennerjahn is a Medical Physician Assistant in Queens Village, New York. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

22001 Jamaica Ave
Queens Village, NY 11428-2140
Phone: (718) 528-1503
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1013730993
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 7, 2024
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025