Provider Demographics
NPI:1700872926
Name:RIPEPI, JENNIFER (MD)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:RIPEPI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:SENDAK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:100 STOOPS DR
Mailing Address - Street 2:SUITE 310
Mailing Address - City:MONONGAHELA
Mailing Address - State:PA
Mailing Address - Zip Code:15063-3553
Mailing Address - Country:US
Mailing Address - Phone:724-483-2040
Mailing Address - Fax:724-483-2190
Practice Address - Street 1:100 STOOPS DR
Practice Address - Street 2:SUITE 310
Practice Address - City:MONONGAHELA
Practice Address - State:PA
Practice Address - Zip Code:15063-3553
Practice Address - Country:US
Practice Address - Phone:724-483-2040
Practice Address - Fax:724-483-2190
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-22
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD043526E208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1156660Medicaid
PA077495LPDMedicare ID - Type Unspecified
PAE15003Medicare UPIN