Active NPI
Michele Helaine Jorge
- Specialist
- New Rochelle, NY
National Provider Identifier
1144582610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1441043
- Practice address
- 20 Cedar St
New Rochelle, NY 10801-5247 - Phone
- (914) 576-5292
- NPI assigned
- Jun 11, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1441043 | NY | Primary |
Addresses
Primary practice location
20 Cedar St
New Rochelle, NY 10801-5247
Mailing address
42 Lawrence Ave
White Plains, NY 10603-2043
Phone (914) 557-9055
Other names 1
- Ms. Michele Helaine Dudley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1441043 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339372800000",
"number": "1144582610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 LAWRENCE AVE",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106032043",
"telephone_number": "914-557-9055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 CEDAR ST",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108015247",
"telephone_number": "914-576-5292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORGE",
"first_name": "MICHELE",
"middle_name": "HELAINE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-11",
"last_updated": "2012-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "1441043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELE",
"last_name": "DUDLEY",
"middle_name": "HELAINE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.