Darly C Jeanty, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

111751 Issued in NY

Practice address

185 Birch Hill Rd
Patterson, NY 12563

Phone

(845) 878-4507

NPI assigned

Jun 25, 2008

Last updated

Jun 25, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1447412119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 BIRCH HILL RD",
            "city": "PATTERSON",
            "state": "NY",
            "postal_code": "12563",
            "telephone_number": "845-878-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 BIRCH HILL RD",
            "city": "PATTERSON",
            "state": "NY",
            "postal_code": "12563",
            "telephone_number": "845-878-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEANTY",
        "first_name": "DARLY",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "111751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Ulises Gracia, DVM
• Great Atlantic & Pacific Tea Company Inc (A & P Pharmacy)
• Kathrine F Gubner, LCSW
• Rhona V Hanshaft, M.S. SPECIAL ED
• Joyce Lynn Herling, LCSW
• Brendan Joyce
• Henry Kamin, M.D.
• Frank Bernard Kennedy, DDS
• Sumathi Kotikela, M.D.
• Jeanmarie Krebser, M.S. ED. CCC-SLP

• General Practice Physician in Patterson, NY
• Providers in Patterson, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.