Single Specialty in PEABODY, MA
Last Updated on : Oct 26,2016
DERMOT CONNOLE JINKS is a Single Specialty provider in PEABODY, United States. His medical specialization is Single Specialty .
1528161817 is NPI number of DERMOT CONNOLE JINKS.
DERMOT CONNOLE JINKS's primary taxonomy code based on NPI Lookup is 193400000X with license number X011848. This taxonomy code refers to Single Specialty.
DERMOT CONNOLE JINKS has more than 16 years of experience.
DERMOT CONNOLE JINKS current practice location address is 49 CENTRAL ST, PEABODY, MA. DERMOT CONNOLE JINKS can be reached out via phone at 978-531-0202 and via fax at 978-532-7076 .
You can also correspond with DERMOT CONNOLE JINKS through mail at mailing address 402 ROWLAND ST, BALLSTON SPA, NY, United States. Mailing address contact number is 518-363-0202.
The enumeration date of DERMOT CONNOLE JINKS is 05-Sep-2006. The provider is registered as an Individual and the NPI record was last updated 7 years ago.Basic NPI information of DERMOT CONNOLE JINKS (NPI 1528161817) is provided below.
Name | DERMOT CONNOLE JINKS |
---|---|
National Provider Id (NPI) | 1528161817 |
Entity Type | Individual |
Gender | M |
Credential | D.C. |
Practice Address | 49 CENTRAL ST,
SUITE 1A
PEABODY, MA, United States |
Practice Telephone | 978-531-0202 |
Practice Fax Number | 978-532-7076 |
Mailing Address | 402 ROWLAND ST ,
BALLSTON SPA, NY, United States |
Mailing Telephone | 518-363-0202 |
Mailing Fax Number | 518-363-0711 |
Enumeration Date | 05-Sep-2006 |
Last Updated Date | 26-Oct-2016 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 193400000X | Single Specialty | X011848 | NY |
A business group of one or more individual practitioners, all of who practice with the same area of specialization.
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type/Code | Identifier State | Identifier Issuer |
---|---|---|---|
Y36302 | Other (non-Medicare) (01) | MA | Blue Cross Blue Shield # |
Here are a few of the other providers in the same location.
NPI | Name | Taxonomy | Address | Enumeration date |
---|---|---|---|---|
1770581555 | 199 ANDOVER STREET OPERATING COMPANY, LLC | Skilled Nursing Facility | 199 ANDOVER STREET ROUTE 114W,
PEABODY, MA, United States |
14-Jul-2005 |
1124397989 | 42 NORTH DENTAL CARE, LLC | Clinic/Center, Dental | 200 5TH AVE FL 3,
WALTHAM, MA, United States |
23-Dec-2011 |
1972187250 | ABA CENTERS OF AMERICA LLC | 155 MAIN DUNSTABLE RD STE 150,
NASHUA, NH, United States |
12-May-2021 | |
1548699382 | ABC PEDIATRIC DENTISTRY | Dentist | 111 FOSTER ST,
PEABODY, MA, United States |
02-Nov-2013 |
1053320341 | ABLE HOME CARE L.L.C. | Home Health | 8 ESSEX CENTER DR STE 100,
PEABODY, MA, United States |
05-Aug-2006 |
1386861896 | NATALIA S ABREU | Physical Therapist | 200 LOWELL ST,
APT 2 PEABODY, MA, United States |
19-Apr-2007 |
1033734124 | ACCESS MENTAL HEALTH LLC | Nursing Facility/Intermediate Care Facility | 500 PEABODY AVE,
PEABODY, KS, United States |
15-Jun-2020 |
1023057551 | ALIZA D ACKER-BERNSTEIN | Family Medicine | 5525 RESEARCH PARK DR,
4TH FLOOR BALTIMORE, MD, United States |
06-Jun-2006 |
1801008164 | DONNA JEANNE ADAMS | Physical Therapist | 5 PINE ST,
IPSWICH, MA, United States |
07-May-2007 |
1487629465 | WILLIAM PAUL ADAMS | Plastic Surgery | PO BOX 9142,
MASS GENERAL PHYSICIAN ORGANIZATION CHARLESTOWN, MA, United States |
22-Feb-2006 |
1437875408 | JUSTINA N ADOH-OJIE | Nurse Practitioner, Psych/Mental Health | 300 JUBILEE DR,
PEABODY, MA, United States |
12-Oct-2022 |
1477709640 | ADVANCED ENDODONTIC ASSOCIATES, PC | Dentist, Endodontics | 39 CROSS ST STE 304,
PEABODY, MA, United States |
07-Aug-2008 |
1164758348 | AGAPE VISITING NURSES, INC | Home Health | 7 AMANDA WAY,
PEABODY, MA, United States |
23-Oct-2009 |
1386007631 | EDWIN JAPHETH AGBONAVBARE | Nurse Practitioner, Psych/Mental Health | 100 CORPORATE PL STE 303,
PEABODY, MA, United States |
04-Apr-2016 |
1093460370 | JESSICA I AGENOR | Counselor, Mental Health | 73 PORTER ST APT 3,
MALDEN, MA, United States |
15-Feb-2022 |
1811904147 | NIDHI AGGARWAL | Internal Medicine | 1 ESSEX CENTER DR,
LAHEY NORTHSHORE PEABODY, MA, United States |
01-Aug-2006 |
1174141972 | RILEY EILEEN AHERN | Dietitian, Registered | 14 OAK AVE,
PEABODY, MA, United States |
08-Jul-2020 |
1083073662 | SHEMMA AHMED | Counselor | 9 CENTENNIAL DR UNIT 202,
PEABODY, MA, United States |
11-Feb-2016 |
1639430705 | ALYCIA ROSE AIELLO | Counselor | 9 CENTENNIAL DR,
PEABODY, MA, United States |
05-Jun-2012 |
1790380624 | EMMANUEL DARKO AKOTO | Pharmacist | 85 LYNNFIELD ST,
PEABODY, MA, United States |
30-Nov-2020 |
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
1528161817 is the NPI number of DERMOT CONNOLE JINKS.
What is the specialty for DERMOT CONNOLE JINKS?The Specialty of DERMOT CONNOLE JINKS is Single Specialty.
Field Name | Field Value |
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NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
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Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date | The date that a record was last updated or changed. |
Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
Provider License Number State Code | Provider License Number State Code #1 |
Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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