Jennifer Dilungo, PA-C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

001868 Issued in CT

Practice address

299 Barberry Rd
North Haven, CT 06473-4102

Phone

(203) 675-2973

NPI assigned

Jan 29, 2007

Last updated

Nov 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Radiancemd

  dba The Radiance MD

  • Internal Medicine Physician
  • Orange, CT
  • NPI 1265190946
  NPD Authorized official
• Trinity Health of New England Provider Network Organization Inc

  dba Trinity Health Of New England Medical Group

  • Internal Medicine Physician
  • Waterville, ME
  • NPI 1134779531
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1972649812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 BARBERRY RD",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064734102",
            "telephone_number": "203-675-2973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 BARBERRY RD",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064734102",
            "telephone_number": "203-675-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILUNGO",
        "first_name": "JENNIFER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "001868",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "001868",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "001868",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "001868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972649812",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "theradiancemd@gmail.com",
            "affiliation": "N",
            "address_1": "299 Barberry Rd",
            "city": "North Haven",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064734102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jameel Besheer Dhanani, DMD
• Hailey Dias, LADC
• Vincent Dicola, MD, FACC, NASPE
• Philip Andrew Diglio, LO
• Shaniqua Dillard, LPCA
• Kimberly Ann Dimeola
• Discovery Health & Wellness Center, LLC
• Divine Smiles North Haven PC
• Ruel Dixon, BCBA
• Ashlee Doherty, DNP, FNP

• Internal Medicine Physician in North Haven, CT
• Providers in North Haven, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.