Individual provider Active NPI

Jessica Newburger, D.O

  • Dermatology Physician
  • Roslyn, NY
National Provider Identifier
1215215355
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
269417 Issued in NY
Practice address
1045 Northern Blvd FL 2
Roslyn, NY 11576-1502
Phone
(516) 279-2616
Fax
(516) 279-2632
NPI assigned
Jul 22, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 269417 NY Primary

Addresses

Primary practice location

1045 Northern Blvd FL 2
Roslyn, NY 11576-1502

Mailing address

1045 Northern Blvd FL 2
Roslyn, NY 11576-1502
Phone (516) 279-2616

Other practice location 1

4906 Merrick Rd
Massapequa Park, NY 11762-3803
Phone (516) 279-2616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181115001708 NY Practitioner - Dermatology 9234483918 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenberg Medical Services PCGroup PAC ID 3971864489, 4 clinicians

Practice addresses (Care Compare)

1045 Northern Blvd
FL 2
Roslyn, NY 11576-1502
Phone (516) 814-2800

160 Crossways Park Dr
Woodbury, NY 11797-2028
Phone (516) 364-4200

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions338
Skin biopsy60

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
269417NYMDDermatology Physician

Practice roles (10 of 14)

OrganizationSpecialtyStatusNew patients
North Shore - Lij Medical PC CurrentSince Sep 1, 2023 Accepting new patients
Garden City Dermatology, PC CurrentSince Dec 1, 2020 Accepting new patients
North Shore-Lij Medical PC Dermatology CurrentSince Sep 1, 2023 Accepting new patients
Stacey F Brisman MD PC Dermatology CurrentSince Mar 30, 2022 Accepting new patients
Jeremy Nikfarjam Medical, PC Dermatology CurrentSince Apr 7, 2026 Accepting new patients
Long Island Dermatology PLLC Dermatology CurrentSince Nov 1, 2018 Accepting new patients
Greenberg Medical Services PC Dermatology CurrentSince Jan 8, 2024 Accepting new patients
Queens Crossing Dermatology, PLLC Dermatology CurrentSince Nov 1, 2018 Accepting new patients
Stephen T. Greenberg MD PC Past Accepting new patients
Austin FP PastSince Dec 1, 2020 Accepting new patients

Locations

901 Stewart Ave
Ste 201
Garden City, NY 11530
Phone (516) 227-3376

50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545

1615 Northern Blvd
Manhasset, NY 11030
Phone (516) 627-3717

1615 Northern Blvd
Ste 400
Manhasset, NY 11030
Phone (516) 472-7546

4906 Merrick Rd
Massapequa Park, NY 11762
Phone (516) 279-2616

441 S Oyster Bay Rd
Plainview, NY 11803
Phone (516) 388-6622

300 Community Dr
Plandome, NY 11030

1045 Northern Blvd
Fl 2
Roslyn, NY 11576
Phone (516) 279-2616

222 E Middle Country Rd
Ste 228
Smithtown, NY 11787
Phone (631) 265-1351

160 Crossways Park Dr
Woodbury, NY 11797
Phone (516) 364-4200

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: jnewburger@walkindermatology.emadirect.md
  • Direct secure messaging: jessicanewburger@nslijmedgr.allscriptsdirect.net

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1215215355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 NORTHERN BLVD FL 2",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761502",
            "telephone_number": "516-279-2616",
            "fax_number": "516-279-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 NORTHERN BLVD FL 2",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761502",
            "telephone_number": "516-279-2616",
            "fax_number": "516-279-2632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4906 Merrick Rd",
            "address_purpose": "LOCATION",
            "city": "Massapequa Park",
            "state": "NY",
            "postal_code": "117623803",
            "country_code": "US",
            "telephone_number": "516-279-2616",
            "fax_number": "516-279-2632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWBURGER",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-22",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "269417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn, NY

Sources for this page

Verify at the official NPI Registry.