Active NPI
Jessica Newburger, D.O
- Dermatology Physician
- Roslyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 269417
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 338 |
| Skin biopsy | 60 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 269417 | NY | MD | Dermatology Physician |
Practice roles (10 of 14)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Garden City Dermatology, PC | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Dermatology | Current | Accepting new patients |
| Stacey F Brisman MD PC | Dermatology | Current | Accepting new patients |
| Jeremy Nikfarjam Medical, PC | Dermatology | Current | Accepting new patients |
| Long Island Dermatology PLLC | Dermatology | Current | Accepting new patients |
| Greenberg Medical Services PC | Dermatology | Current | Accepting new patients |
| Queens Crossing Dermatology, PLLC | Dermatology | Current | Accepting new patients |
| Stephen T. Greenberg MD PC | Past | Accepting new patients | |
| Austin FP | Past | 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
- jnewburger@walkindermatology.emadirect.md
- 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.
-
- Dermatology Physician
- Woodbury, NY
- NPI 1689181562
-
- Dermatopathology Physician
- Garden City, NY
- NPI 1881653194
-
- Dermatology Physician
- Roslyn, NY
- NPI 1346110202
-
- Dermatology Physician
- Manhasset, NY
- NPI 1396268991
-
- Dermatology Physician
- Greenvale, NY
- NPI 1336618941
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Dermatology Physician
- Flushing, NY
- NPI 1033310362
-
- Ambulatory Surgical Clinic/Center
- Garden City, NY
- NPI 1932353265
-
- Plastic and Reconstructive Surgery Physician
- Woodbury, NY
- NPI 1821484999
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.