Jennifer S Dally, MD
Student in an Organized Health Care Education/Training Program in Newark, New Jersey
1134959174- Practice location
- 201 Lyons Ave, Newark, NJ 07112-2027
- Phone
- 267-697-2676
- Fax
- —
- Last updated
- March 23, 2025
Jennifer S Dally is a Student in an Organized Health Care Education/Training Program based in Newark, NJ. Jennifer S Dally practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Jennifer S Dally is 1134959174. The current practice location address for Jennifer S Dally is 201 Lyons Ave, Newark, NJ 07112-2027 and can be reached out via phone at 267-697-2676.
Provider Profile Details
- NPI Number
- 1134959174
- Provider Name
- Jennifer S Dally
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 201 Lyons Ave, Newark, NJ 07112-2027
- Phone Number
- 267-697-2676
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 5, 2024
- Last Update Date
- March 23, 2025
- Certification Date
- March 23, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 201 Lyons Ave
Newark, NJ 07112-2027 - City
- Newark
- State
- New Jersey
- Zip
- 07112-2027
- Phone Number
- 267-697-2676
Provider Business Mailing Address Details
- Address
- 125 Broughton Ave Unit 1
Bloomfield, NJ 07003-3929 - City
- Bloomfield
- State
- NJ
- Zip
- 07003-3929
License Information
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Student in an Organized Health Care Education/Training Program providers near Newark, NJ
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Frequently Asked Questions
What is the NPI number of Jennifer S Dally, MD?
The NPI number of Jennifer S Dally, MD is 1134959174. It was assigned on August 5, 2024 and is currently active in the NPPES registry.
What is the specialty of Jennifer S Dally, MD?
Jennifer S Dally, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Jennifer S Dally, MD practice?
The practice location is 201 Lyons Ave, Newark, NJ 07112-2027. The office can be reached at 267-697-2676 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134959174 directly on the NPPES registry website.