Active NPI
Darina Lee Jorgensen
- Specialist
- East Northport, NY
National Provider Identifier
1639727530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 1 Locust PL
East Northport, NY 11731-1400 - Phone
- (631) 379-6170
- NPI assigned
- Sep 4, 2019
- Last updated
- Sep 4, 2019
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1 Locust PL
East Northport, NY 11731-1400
Mailing address
1 Locust PL
East Northport, NY 11731-1400
Other practice location 1
1363 Veterans Memorial Hwy Ste 8
Hauppauge, NY 11788-3046
Phone (631) 366-3876
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 6313660267 | Direct | |
| CONNECT URL | darjoe22@yahoo.com | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567555200000",
"number": "1639727530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LOCUST PL",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117311400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LOCUST PL",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117311400",
"telephone_number": "631-379-6170"
}
],
"practiceLocations": [
{
"address_1": "1363 Veterans Memorial Hwy Ste 8",
"address_purpose": "LOCATION",
"city": "Hauppauge",
"state": "NY",
"postal_code": "117883046",
"country_code": "US",
"telephone_number": "631-366-3876",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JORGENSEN",
"first_name": "DARINA",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-04",
"last_updated": "2019-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "6313660267",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1363 Veterans Memorial Hwy Ste 8",
"city": "Hauppauge",
"state": "NY",
"country_code": "US",
"postal_code": "117883046",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "darjoe22@yahoo.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1 Locust Pl",
"city": "East Northport",
"state": "NY",
"country_code": "US",
"postal_code": "117311400",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in East Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.