DR. JESSICA NEWBURGER (NPI# 1215215355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215215355 |
| Entity Type | Individual |
| Full Name | DR. JESSICA NEWBURGER |
| Credential | D.O |
| Practice Address |
1615 Northern Blvd Manhasset NY 11030-3008 |
| Practice Telephone | 5164727546 |
| Practice Fax Number | 5164727552 |
| Mailing Telephone | 5164727546 |
| Mailing Fax Number | 5164727552 |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2018-12-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 269417 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1615 NORTHERN BLVD |
| City | MANHASSET |
| State | NY |
| Zip Code | 11030-3008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427054584 | Thomas A Nicosia | Internal Medicine | 1615 Northern Blvd, Manhasset, NY 11030 | 2005-06-23 |
| 1861974438 | Carson Jean Potash | Physical Therapist | 1615 Northern Blvd, #202, Manhasset, NY 11030 | 2018-08-30 |
| 1265811483 | Kiho Lee | Acupuncturist | 1615 Northern Blvd, Suite 202, Manhasset, NY 11030-3008 | 2015-05-20 |
| 1144659749 | Mount Sinai School of Medicine | Internal Medicine | 1615 Northern Blvd, Manhasset, NY 11030-3008 | 2013-11-04 |
| 1457601403 | Sherry Reill | Nurse Practitioner | 1615 Northern Blvd, Suite 301, Manhasset, NY 11030-3008 | 2012-09-18 |
| 1225301245 | Judah Philip Guy | Internal Medicine | 1615 Northern Blvd, Suite Gr5, Manhasset, NY 11030-3008 | 2012-02-22 |
| 1891062469 | Andrew James Ciancimino | Internal Medicine | 1615 Northern Blvd, Manhasset, NY 11030-3008 | 2011-11-25 |
| 1205161635 | Katherine Frangos Audiology, P.C. | Clinic/Center | 1615 Northern Blvd, Suite 201, Manhasset, NY 11030-3033 | 2009-10-02 |
| 1356521322 | Katherine Anastasia Frangos | Audiologist | 1615 Northern Blvd, Suite 201, Manhasset, NY 11030-2142 | 2007-11-07 |
| 1730382714 | Kenneth Goodman | Anesthesiology | 1615 Northern Blvd, Manhasset, NY 11030 | 2007-06-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831754126 | Diana Fox | Registered Nurse | 330 Community Drive, Manhasset, NY 11030 | 2019-05-02 |
| 1215470257 | Melissa Fackler | Registered Nurse | 1350 Northern Blvd Ste 202, Manhasset, NY 11030 | 2016-11-23 |
| 1821443391 | Sarah Javdan | Family Medicine | 800 Community Dr Ste 206, Manhasset, NY 11030 | 2016-05-03 |
| 1891167458 | Stacie Thaw Lcsw Pllc | Social Worker | 115 Park Ave., Manhasset, NY 11030 | 2015-10-22 |
| 1538547971 | Aarti Kumar | Podiatrist | 535 Plandome Rd # 2, Manhasset, NY 11030 | 2015-05-18 |
| 1073933586 | Rachel Durante | Occupational Therapist | 600 Community Drive, Manhasset, NY 11030 | 2014-04-23 |
| 1831436435 | Anesthesia Care, P.C. | General Practice | 565 Plandome Road, Manhasset, NY 11030 | 2013-01-16 |
| 1821350091 | Sylvia Yoonsun Kim | Pharmacist | 139 Vanderbilt Ave, Manhasset, NY 11030 | 2012-06-13 |
| 1699062588 | Rod Stern | Dentist | 444 Community Dr Ste 201, Manhasset, NY 11030 | 2011-06-30 |
| 1558654798 | Alexandria Pace Kress | Speech-Language Pathologist | 31 Circle Dr, Manhasset, NY 11030 | 2011-05-20 |
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| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396268991 | Long Island Dermatology Pllc | Dermatology | 1615 Northern Blvd Ste 400, Manhasset, NY 11030-3033 | 2017-07-25 |
| 1730547506 | Steven Brooks Do PC | Dermatology | 444 Community Dr, Suite 102, Manhasset, NY 11030-3803 | 2016-02-08 |
| 1902291024 | Sahar Naseer | Dermatology | 300 Community Dr, Manhasset, NY 11030-3816 | 2015-04-06 |
| 1629142047 | Ian Pravda | Dermatology | 444 Community Drive, Manhasset, NY 11030 | 2006-11-17 |
| 1043233166 | John Steven Walczyk | Dermatology | 1165 Northern Blvd, Suite 405, Manhasset, NY 11030-3048 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225636384 | Markowitz Medical Pllc | Dermatology | 1150 5th Ave # Suire1a, New York, NY 10128-0724 | 2020-10-12 |
| 1114545985 | Tarek Yamany Md Pllc | Dermatology | 229 W 60th St Apt 8e, New York, NY 10023-7507 | 2020-07-08 |
| 1952924839 | Elizabeth Jessica Ranelli | Dermatology | 16 W 17th St, New York, NY 10011-5738 | 2020-05-26 |
| 1841811148 | Stuart Daniel Shanler | Dermatology | 53 Underhill Dr, Pomona, NY 10970-2668 | 2020-04-28 |
| 1740800309 | Ns Arora Dermatology Pllc | Dermatology | 99 Jericho Tpke Ste 110, Jericho, NY 11753-1015 | 2020-04-23 |
| 1174163406 | Halite Services Crop | Dermatology | 447 Rose Ln, Rockville Centre, NY 11570-1429 | 2020-01-15 |
| 1235776485 | Libby Rhee Do Dermatology Pllc | Dermatology | 110 E 60th St # 800, New York, NY 10022-1688 | 2019-12-06 |
| 1588214357 | Advanced Dermatology of New York PC | Dermatology | 1-3 West 125th Street, New York, NY 10027 | 2019-09-13 |
| 1568018588 | Mary Matina Valinotti | Dermatology | 332 E Main St Ste 1, Bay Shore, NY 11706-8436 | 2019-08-15 |
| 1831751379 | Jessica Weiser, M.d., Pllc | Dermatology | 155 Spring St Fl 5, New York, NY 10012-5208 | 2019-07-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.