Active NPI
James Lawrence Dolph, M.D.
- Plastic Surgery Physician
- Albany, NY
National Provider Identifier
1811086614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 172323-1
- Practice address
- 319 S Manning Blvd
Suite 103
Albany, NY 12208-1742 - Phone
- (518) 482-7874
- Fax
- (518) 482-7987
- NPI assigned
- Oct 12, 2006
- 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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 172323-1 | NY | Primary |
Addresses
Primary practice location
319 S Manning Blvd
Suite 103
Albany, NY 12208-1742
Mailing address
319 S Manning Blvd
Suite 103
Albany, NY 12208-1742
Phone (518) 482-7874
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01048746 | Medicaid | NY | |
| 040426005318 | Other | NY | FIDELIS |
| 19200 | Other | NY | MVP |
| 10000502 | Other | NY | CDPHP |
| 000405145001 | Other | NY | BLUE SHIELD NENY |
| 89E321 | Other | NY | EMPIRE BCBS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 172323-1 | NY | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811086614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 S MANNING BLVD",
"address_2": "SUITE 103",
"city": "ALBANY",
"state": "NY",
"postal_code": "122081742",
"telephone_number": "518-482-7874",
"fax_number": "518-482-7987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 S MANNING BLVD",
"address_2": "SUITE 103",
"city": "ALBANY",
"state": "NY",
"postal_code": "122081742",
"telephone_number": "518-482-7874",
"fax_number": "518-482-7987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLPH",
"first_name": "JAMES",
"middle_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NY",
"license": "172323-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01048746",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "040426005318",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "19200",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10000502",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD NENY",
"identifier": "000405145001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "89E321",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.