Jeffrey H Carlberg, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

151709 Issued in NY

Practice address

783 Franklin St
Skaneateles, NY 13152-9313

Phone

(315) 685-8988

Fax

(315) 685-2253

NPI assigned

Dec 15, 2005

Last updated

May 12, 2008By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Your Health Your Choice Dietetics and Nutrition PLLC

  • Registered Dietitian
  • Camillus, NY
  • NPI 1407096506
  NPD (past)

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1962488601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W FAYETTE ST",
            "address_2": "STE 400",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042859",
            "telephone_number": "315-472-1488",
            "fax_number": "315-472-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "783 FRANKLIN ST",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131529313",
            "telephone_number": "315-685-8988",
            "fax_number": "315-685-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLBERG",
        "first_name": "JEFFREY",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "151709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Christine Bregande, M.A., LMFT
• Laura Beth Brewer, PHARMD
• Tessa Nanette Brown, COTA
• Lydia Bunszel, MS, RD
• Isabella Calamari Caprez
• Marybeth H Carlberg, MD
• John G. Carlile, DDS
• James B Carranti, LMT
• Casimir K Bobowski OD
• Dorothy Clark, RN

• Family Medicine Physician in Skaneateles, NY
• Providers in Skaneateles, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.