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SOPRINYE ELIM DAPPA-FOMBO MD
NPI 1447955331
Student in an Organized Health Care Education/Training Program in Poughkeepsie, NY

Active since March 31, 2023PECOS Enrolled
2649 SOUTH RD STE 104, POUGHKEEPSIE, NY 12601(470) 667-9538 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Soprinye Elim Dappa-fombo Md NPPES

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

SOPRINYE ELIM DAPPA-FOMBO MD (NPI 1447955331) is an individual student in an organized health care education/training program in Poughkeepsie, New York and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1447955331
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSOPRINYE ELIM DAPPA-FOMBOCredential: MD
Location Address2649 SOUTH RD STE 104Poughkeepsie, NY 12601-6843
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-0000 · Fax (410) 500-4266
Phone(470) 667-9538
Sole ProprietorNo
Enumeration DateMarch 31, 2023
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1447955331 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.
2649 SOUTH RD STE 104, Poughkeepsie, NY 12601
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Secondary Practice Location 1

Location 11800 Orleans StBaltimore, MD 21287-0010 · Phone (410) 502-2037

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Soprinye Elim Dappa-fombo Md 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.

Other Providers at the Same Location NPPES 3

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

DR. TASNEEM RASHID KHAN MD
Student in an Organized Health Care Education/Training Program
2649 SOUTH RD STE 104
POUGHKEEPSIE, NY 12601
Dutchess County (845) 790-2085
LAMISA QUAIM
Emergency Medicine
2649 SOUTH RD STE 104
POUGHKEEPSIE, NY 12601
Dutchess County (845) 790-1317
CHRISTOPHER STENBERG MBCHB
Pediatrics
2649 SOUTH RD STE 104
POUGHKEEPSIE, NY 12601
Dutchess County (845) 790-2085

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 Soprinye Dappa-fombo's NPI number?

The NPI number for Soprinye Dappa-fombo is 1447955331. It was assigned to this individual provider in the NPPES registry on March 31, 2023.

Where is Soprinye Dappa-fombo located?

Soprinye Dappa-fombo practices at 2649 South Rd Ste 104, Poughkeepsie, NY 12601. The listed phone number is (470) 667-9538.

What is Soprinye Dappa-fombo's specialty?

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

Is Soprinye Dappa-fombo enrolled in Medicare?

Yes. Soprinye Dappa-fombo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Soprinye Dappa-fombo was last updated on June 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.