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

Jennifer S Dally, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134959174

Jennifer S Dally, MD is a Student in an Organized Health Care Education/Training Program in Newark, New Jersey. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

201 Lyons Ave
Newark, NJ 07112-2027
Phone: (267) 697-2676
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1134959174
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 5, 2024
Last updated in NPPESMarch 23, 2025
Certification dateMarch 23, 2025

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