Individual provider Active NPI

Michael R Dulay, MS, FNP-C

  • Family Nurse Practitioner
  • Castleton, NY
National Provider Identifier
1528494317
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F338073-1 Issued in NY
Practice address
1547 Columbia Tpke
Castleton, NY 12033-9543
Phone
(518) 479-4156
Fax
(518) 479-3794
NPI assigned
Sep 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F338073-1 NY Primary
Dermatology Physician 207N00000X F338073-1 NY

Addresses

Primary practice location

1547 Columbia Tpke
Castleton, NY 12033-9543

Mailing address

1547 Columbia Tpke
Castleton, NY 12033-9543
Phone (518) 479-4156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131206001412 NY Practitioner - Nurse Practitioner 2961639455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upstate Dermatology, PCGroup PAC ID 3375434046, 14 clinicians

Practice addresses (Care Compare)

1547 Columbia Tpke
Castleton, NY 12033-9543
Phone (518) 479-4156

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
F338073-1NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Dermatology, PC Dermatology CurrentSince Feb 8, 2016 Accepting new patients

Locations

1547 Columbia Tpke
Castleton on Hudson, NY 12033
Phone (518) 479-4156

113 Hudson Ave
Chatham, NY 12037
Phone (518) 392-6742

132 MacArthur Ave
Cobleskill, NY 12043
Phone (518) 234-8745

1770 Route 9
Ste 202
Halfmoon, NY 12065
Phone (518) 631-2933

461 Clinton St Ext
Schenectady, NY 12305
Phone (518) 374-7222

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1528494317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 COLUMBIA TPKE",
            "city": "CASTLETON",
            "state": "NY",
            "postal_code": "120339543",
            "telephone_number": "518-479-4156",
            "fax_number": "518-479-3794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1547 COLUMBIA TPKE",
            "city": "CASTLETON",
            "state": "NY",
            "postal_code": "120339543",
            "telephone_number": "518-479-4156",
            "fax_number": "518-479-3794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULAY",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "MS, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-25",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F338073-1",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "F338073-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castleton, NY

Sources for this page

Verify at the official NPI Registry.