JERMYN ADDY
NPI 1881155133
Student in an Organized Health Care Education/Training Program in New York, NY

Active since March 28, 2019PECOS Enrolled
130 E 77TH ST, NEW YORK, NY 10075(212) 434-2150 Get Directions Write a Review

NPPES record last updated: March 28, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jermyn Addy NPPES

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

JERMYN ADDY (NPI 1881155133) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881155133
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJERMYN ADDY
Location Address130 E 77TH STNew York, NY 10075-1851
Mailing Address130 E 77th StNew York, NY 10075-1851
Sole ProprietorNo
Enumeration DateMarch 28, 2019
NPI 1881155133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
130 E 77TH ST, New York, NY 10075

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jermyn Addy 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 20

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

Internal Medicine
130 E 77TH ST, 9TH FLOOR BLACK HALL
NEW YORK, NY 10075
Psychiatry & Neurology (Neuromuscular Medicine)
130 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
130 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
130 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
130 E 77TH ST
NEW YORK, NY 10075
Surgery (Vascular Surgery)
130 E 77TH ST, 13TH FLOOR
NEW YORK, NY 10075
Pediatrics
130 E 77TH ST, DEPARTMENT OF PEDIATRICS, LENOX HILL HOSPITAL
NEW YORK, NY 10075
Speech-Language Pathologist
130 E 77TH ST, 10TH FLOOR, NYHNI
NEW YORK, NY 10075

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 Jermyn Addy's NPI number?

The NPI number for Jermyn Addy is 1881155133. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Where is Jermyn Addy located?

Jermyn Addy practices at 130 E 77th St, New York, NY 10075. The listed phone number is (212) 434-2150.

What is Jermyn Addy's specialty?

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

Is Jermyn Addy enrolled in Medicare?

Yes. Jermyn Addy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jermyn Addy was last updated on March 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.