Jerold Barry Millendorf, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

138710 Issued in NY

Practice address

1530 Route 9
Wappingers Falls, NY 12590-4131

Phone

(845) 297-2511

Fax

(845) 297-4993

NPI assigned

May 23, 2006

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

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: jmillendorf@direct.health-quest.org

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.

• Urgent Care Physician of New York-Hartsdale PLLC

  • Urgent Care Clinic/Center
  • Bronx, NY
  • NPI 1770885808
  Medicare reassignment NPD
• Emergency Physician Services of New York, P.C.

  • Emergency Medicine Physician
  • Poughkeepsie, NY
  • NPI 1093759847
  NPD (past)
• Hudson Valley Emergency Medicine PLLC

  • General Practice Physician
  • Poughkeepsie, NY
  • NPI 1093746505
  NPD (past)
• Nuvance Health Medical Practice PC

  • Internal Medicine Physician
  • Poughkeepsie, NY
  • NPI 1437358033
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1609821354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 350",
            "address_2": "HUDSON VALLEY EMERGENCY MEDICINE PLLC",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "12602",
            "telephone_number": "610-668-6471",
            "fax_number": "610-617-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 ROUTE 9",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904131",
            "telephone_number": "845-297-2511",
            "fax_number": "845-297-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLENDORF",
        "first_name": "JEROLD",
        "middle_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "138710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01322870",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mid Hudson Podiatry, PLLC
• Mid-Hudson Behavioral Health Group-LCSW, LLP
• Midhudson Radiology, P.C.
• Mike-Paul Corp
• Delsie Sue Mikulsky
• Rubi Alexis Mink, PHARMD
• Jeremy Christopher Minor, LPN
• Diana Minunni, OTR/L
• Aileen Moncion, OTA/L
• Taryn Mondiello, PHARMD

• Emergency Medicine Physician in Wappingers Falls, NY
• Providers in Wappingers Falls, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.