Organization Active NPI

Dr. Dany Y. Jabbour DPM PLLC

Doing business as Rhinebeck Podiatry Services

  • Durable Medical Equipment & Medical Supplies
  • Rhinebeck, NY
National Provider Identifier
1194411710
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DR. DANY Y. JABBOUR DPM PLLC
Doing business as
Rhinebeck Podiatry Services
Practice address
91 Montgomery St
Rhinebeck, NY 12572-1146
Phone
(845) 476-1511
Fax
(845) 876-0218
NPI assigned
Apr 17, 2023
Last updated
Nov 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Dany Youssef Jabbour, DOCTORNPI 1528073822
Title
Podiatrist/Owner
Phone
(845) 876-8637

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

91 Montgomery St
Rhinebeck, NY 12572-1146

Mailing address

91 Montgomery St
Rhinebeck, NY 12572-1146
Phone (845) 476-1511

Other names 1

  • Rhinebeck Podiatry Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230821003353 NY Part B Supplier - Clinic/Group Practice 4284096306 Receives reassigned benefits from 1 practitioner
Practice locations: Rhinebeck, NY
O20231018000762 NY DME Supplier - Physician - Podiatry 4284096306 Practice locations: Rhinebeck, NY

National Provider Directory

National Provider Directory

Locations

91 Montgomery St
Rhinebeck, NY 12572
Phone (845) 876-8110

91 Montgomery St
Ste 1
Rhinebeck, NY 12572
Phone (845) 214-1880

91 Montgomery St
Ste 2
Rhinebeck, NY 12572

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1194411710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 MONTGOMERY ST",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721146",
            "telephone_number": "845-476-1511",
            "fax_number": "845-876-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 MONTGOMERY ST",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721146",
            "telephone_number": "845-476-1511",
            "fax_number": "845-876-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DANY Y. JABBOUR DPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "JABBOUR",
        "authorized_official_first_name": "DANY",
        "authorized_official_middle_name": "YOUSSEF",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "845-876-8637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOCTOR"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rhinebeck Podiatry Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rhinebeck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.