Active NPI
Jacqueline I Fulop, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- New York, NY
National Provider Identifier
1467616474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN046762
- Practice address
- 415 E 37TH St Apt 43C
New York, NY 10016-3249 - Phone
- (212) 972-3522
- Fax
- (646) 606-3284
- NPI assigned
- Jul 18, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN046762 | NY | Primary |
Addresses
Primary practice location
415 E 37TH St Apt 43C
New York, NY 10016-3249
Mailing address
415 E 37TH St Apt 43C
New York, NY 10016-3249
Phone (212) 972-3522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN046762 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1467616474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 E 37TH ST APT 43C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100163249",
"telephone_number": "212-972-3522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 E 37TH ST APT 43C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100163249",
"telephone_number": "212-972-3522",
"fax_number": "646-606-3284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULOP",
"first_name": "JACQUELINE",
"middle_name": "I",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-18",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "DN046762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Yevgeny Fulman, M.D.
- Holly Mae Fulmer, MSN, RN, AGPCNP-BC
- Sidney Mackenzie Fulop
- Tamara A Fulop, MD
- Fulton Physical Medicine & Rehabilitation PC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.