Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dmitriy Podlog

Individual provider Emergency Medicine Physician · NPI 1023692704

Dmitriy Podlog is an Emergency Medicine in Trenton, New Jersey. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2021, 5 years ago. Practices with Emergency Physician Associates of North Jersey P C, a 126-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
5
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
NJ
In the registry since
2021
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Practice location Address checks out

750 Brunswick Ave
Trenton, NJ 08638-4143
Phone: (609) 394-6031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 25MB12408400 (NJ)

Record details

NPI number1023692704
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 10, 2021
Last updated in NPPESOctober 19, 2024
Certification dateOctober 19, 2024
Mailing address750 Brunswick Ave, Trenton, NJ 08638-4143

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2021 (5 years in practice)
Group practice Emergency Physician Associates Of North Jersey P C — 126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Trenton