Jordan James Dolgos

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

950 S Oyster Bay Rd
Hicksville, NY 11801-3510

Phone

(611) 822-6111

NPI assigned

Nov 1, 2019

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1497399539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3888 BERGER AVE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145002",
            "telephone_number": "516-426-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S OYSTER BAY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013510",
            "telephone_number": "611-822-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLGOS",
        "first_name": "JORDAN",
        "middle_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-01",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Direct Connect Pharmacy Inc
• Amanda Disalvo, MA
• Mary Ellen Diver
• Susan Divito, LCSW, CASAC
• DME Solutions, LLC.
• Sangye Dolker, COTA/L
• Gayle Dolowich, RN
• Michael Dominiak, PA-C
• Emily Dommartin
• Geraldine Ann Donohue-Quinn, PT

• Student in an Organized Health Care Education/Training Program in Hicksville, NY
• Providers in Hicksville, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; 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.