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DR. JESSE PHILLIP KORETZ
NPI 1528650066
Student in an Organized Health Care Education/Training Program in New York, NY

Active since February 05, 2021
1 GUSTAVE L LEVY PL # 1187, NEW YORK, NY 10029(212) 423-4500 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Feb 18, 2021, Feb 5, 2021 (2 updates tracked since 2021).

About Dr. Jesse Phillip Koretz NPPES

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

DR. JESSE PHILLIP KORETZ (NPI 1528650066) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1528650066
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JESSE PHILLIP KORETZ
Location Address1 GUSTAVE L LEVY PL # 1187New York, NY 10029-6504
Mailing Address43 Boulderol RdStamford, CT 06903-1328 · (203) 536-4806
Phone(212) 423-4500
Sole ProprietorNo
Enumeration DateFebruary 5, 2021
Last NPPES UpdateFebruary 18, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2021
✔ NPI 1528650066 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.
1 GUSTAVE L LEVY PL # 1187, New York, NY 10029
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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.

BRITTNEY ROSCHELLE KRASNOV DDS
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL # 1187
NEW YORK, NY 10029
New York County (917) 376-7955
CARL ANTHONY DOTTORE
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL # 1187
NEW YORK, NY 10029
New York County (914) 224-3955
DEBORAH JILLIAN TIRSUN DDS
Dentist
1 GUSTAVE L LEVY PL # 1187
NEW YORK, NY 10029
New York County (212) 423-4500

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 Jesse Koretz's NPI number?

The NPI number for Jesse Koretz is 1528650066. It was assigned to this individual provider in the NPPES registry on February 5, 2021.

Where is Jesse Koretz located?

Jesse Koretz practices at 1 Gustave L Levy Pl # 1187, New York, NY 10029. The listed phone number is (212) 423-4500.

What is Jesse Koretz's specialty?

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

When was this NPI record last updated?

The NPPES record for Jesse Koretz was last updated on February 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.