Jenifer Dulberg

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

14 Steven PL
Coram, NY 11727

Phone

(561) 306-8417

NPI assigned

Jan 4, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1285090407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 STEVEN PL",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117274500",
            "telephone_number": "561-306-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 STEVEN PL",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "11727",
            "telephone_number": "561-306-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULBERG",
        "first_name": "JENIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-04",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Andrew Douglas, DPM
• Taylor Dowd
• Jennifer M Drake
• Steven Robert Driscoll
• Ashley Du
• Trisha Dulnuan
• Halyna Dumalska
• Joseph Dumanski, D.M.D.
• Kori Duncan
• Megan Dwyer

• Specialist in Coram, NY
• Providers in Coram, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.