Active NPI
Jeryk Timothy Dugay, RN
- Registered Nurse
- Baltimore, MD
National Provider Identifier
1518704725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95180677
- Practice address
- 525 N Wolfe St
Baltimore, MD 21205-2110 - Phone
- (410) 955-7548
- NPI assigned
- Jul 15, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95180677 | CA | Primary |
Addresses
Primary practice location
525 N Wolfe St
Baltimore, MD 21205-2110
Mailing address
6272 Narrow Isthmus Ave
Las Vegas, NV 89139-6410
Phone (702) 349-3987
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95180677 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1518704725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6272 NARROW ISTHMUS AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891396410",
"telephone_number": "702-349-3987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 N WOLFE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212052110",
"telephone_number": "410-955-7548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUGAY",
"first_name": "JERYK",
"middle_name": "TIMOTHY",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-15",
"last_updated": "2024-07-15",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "CA",
"license": "95180677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.