Dr Sean Enis, MD is a medicare enrolled "General Practice" physician in Englewood, New Jersey. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice The New Jersey Imaging Network, Llc and his current practice location is
189 Lyman Pl, Englewood, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(917) 945-9568.
Dr Sean Enis is licensed to practice in New Jersey (license number 25MA8167000) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417104399.
Physician's Profile
Full Name | Dr Sean Enis |
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Gender | Male |
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Speciality | Diagnostic Radiology |
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Experience | 20 Years |
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Location | 189 Lyman Pl, Englewood, New Jersey |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Sean Enis graduated from medical school in 2004
NPI Data:
- NPI Number: 1417104399
- Provider Enumeration Date: 08/22/2008
- Last Update Date: 01/30/2017
Medicare PECOS Information:
- PECOS PAC ID: 7416149646
- Enrollment ID: I20101102001032
Medical Identifiers
Medical identifiers for Dr Sean Enis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417104399 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 25MA8167000 (New Jersey) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 25MA08167000 (New Jersey) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 256649 (New York) | Secondary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
The New Jersey Imaging Network, Llc | 2860633492 | 63 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Sean Enis allows following entities to bill medicare on his behalf.
Entity Name | Hudson Valley Radiology Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174574115 PECOS PAC ID: 4486567690 Enrollment ID: O20031112000362 |
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Entity Name | Pennington Radiology Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396760963 PECOS PAC ID: 8729031869 Enrollment ID: O20050301000273 |
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Entity Name | The New Jersey Imaging Network, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629327887 PECOS PAC ID: 2860633492 Enrollment ID: O20130724000791 |
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Entity Name | Garden State Radiology Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487056768 PECOS PAC ID: 3870815244 Enrollment ID: O20141215000979 |
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Entity Name | Lenox Hill Radiology & Medical Imaging Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821036807 PECOS PAC ID: 2264424712 Enrollment ID: O20180404000407 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sean Enis is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Sean Enis, MD 189 Lyman Pl, Englewood, NJ 07631-3609 Ph: (917) 945-9568 | Dr Sean Enis, MD 189 Lyman Pl, Englewood, NJ 07631-3609 Ph: (917) 945-9568 |
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