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

Justin Henneman, MD

Individual provider Emergency Medicine Physician · NPI 1376938472

Justin Henneman, MD is an Emergency Medicine Physician in Roslyn, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 Port Washington Blvd Emergency Dept
Roslyn, NY 11576
Phone: (516) 562-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 298560 (NY)

Record details

NPI number1376938472
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2015
Last updated in NPPESMarch 5, 2021
Certification dateMarch 5, 2021
Mailing address28 Woodridge Ln, Sea Cliff, NY 11579-1934

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