Active NPI
Jeremy Dubin
- Student in an Organized Health Care Education/Training Program
- Edinburg, TX
National Provider Identifier
1659174233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 5501 S McColl Rd
Edinburg, TX 78539-5503 - Phone
- (956) 362-8677
- NPI assigned
- Mar 31, 2025
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
5501 S McColl Rd
Edinburg, TX 78539-5503
Mailing address
37 Parkside Ave
Southampton, NY 11968-1807
Phone (631) 487-1725
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": "1743379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1659174233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 PARKSIDE AVE",
"city": "SOUTHAMPTON",
"state": "NY",
"postal_code": "119681807",
"telephone_number": "631-487-1725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5501 S MCCOLL RD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785395503",
"telephone_number": "956-362-8677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBIN",
"first_name": "JEREMY",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-03-31",
"last_updated": "2025-03-31",
"certification_date": "2025-03-30",
"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": []
}Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.