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JEROME RAYMOND TREMBLEY DO
NPI 1093393498
Student in an Organized Health Care Education/Training Program in Albany, NY

Active since March 29, 2021PECOS Enrolled
47 NEW SCOTLAND AVE DEPT OF, ALBANY, NY 12208(518) 262-5626 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jerome Raymond Trembley Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEROME RAYMOND TREMBLEY DO (NPI 1093393498) is an individual student in an organized health care education/training program in Albany, New York and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093393498
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJEROME RAYMOND TREMBLEYCredential: DO
Location Address47 NEW SCOTLAND AVE DEPT OFAlbany, NY 12208-3412
Mailing Address47 New Scotland Ave Dept OfAlbany, NY 12208-3412 · (518) 262-5626
Phone(518) 262-5626
Sole ProprietorNo
Enumeration DateMarch 29, 2021
Last NPPES UpdateOctober 25, 2024
NPPES CertifiedMarch 29, 2021
✔ NPI 1093393498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
47 NEW SCOTLAND AVE DEPT OF, Albany, NY 12208
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerome Raymond Trembley Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jerome Trembley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
2,400 mi
Health Maintenance Organization
3527 W FLORIDA AVE
Hemet, CA 92545
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1013433465 (877) 608-0044

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE SICA DO
Student in an Organized Health Care Education/Training Program
47 NEW SCOTLAND AVE DEPT OF
ALBANY, NY 12208
Albany County (518) 262-5511
INNOCENT NJOKU M.D.
Student in an Organized Health Care Education/Training Program
47 NEW SCOTLAND AVE DEPT OF
ALBANY, NY 12208
Albany County (518) 262-3095
J'NAE SMITH MD
Student in an Organized Health Care Education/Training Program
47 NEW SCOTLAND AVE DEPT OF
ALBANY, NY 12208
Albany County (518) 262-5626
IAN HAMMER
Psychiatry & Neurology (Psychiatry)
47 NEW SCOTLAND AVE DEPT OF
ALBANY, NY 12208
Albany County (518) 262-7195
MATTHEW BISACCIA DO
Student in an Organized Health Care Education/Training Program
47 NEW SCOTLAND AVE DEPT OF
ALBANY, NY 12208
Albany County (518) 262-5511
NADEZDA MAMEDOVA
Student in an Organized Health Care Education/Training Program
47 NEW SCOTLAND AVE DEPT OF
ALBANY, NY 12208
Albany County (518) 262-5377
JULIANN ELEANOR LAJOIE
Student in an Organized Health Care Education/Training Program
47 NEW SCOTLAND AVE DEPT OF
ALBANY, NY 12208
Albany County (518) 262-5377
DR. MARCO DIEGO VITTO MD
Radiology (Diagnostic Radiology)
47 NEW SCOTLAND AVE DEPT OF
ALBANY, NY 12208
Albany County (518) 262-3277

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerome Trembley's NPI number?

The NPI number for Jerome Trembley is 1093393498. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Jerome Trembley located?

Jerome Trembley practices at 47 New Scotland Ave Dept Of, Albany, NY 12208. The listed phone number is (518) 262-5626.

What is Jerome Trembley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jerome Trembley enrolled in Medicare?

Yes. Jerome Trembley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jerome Trembley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerome Trembley reassigns Medicare benefits to Southern California Permanente Medical Group (Hemet, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jerome Trembley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jerome Trembley was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.