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

Q: 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.

Q: 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.

Q: 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 21 months 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.

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: August 09, 2026.

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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 and is a graduate of Other (2021).

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

Medical School CMSOtherGraduated 2021

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID143720516

PECOS Enrollment IDI20250821001760

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.

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