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

Mr. Jaymie Eureko Oentoro, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1588293682

Mr. Jaymie Eureko Oentoro, MD is a Student in an Organized Health Care Education/Training Program in Stony Brook, New York. Works from 3 locations. Licensed in New Hampshire.

Licensed in
NH
In the registry since
2020
Specialties on file
2
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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Stony Brook, NY

No coordinates on file. Search this address in Google Maps

Additional practice locations (2)

  • 580 Court St, Keene, NH 03431-1729 — (603) 354-5400
  • 1 Medical Center Dr, Lebanon, NH 03756-0001 — (603) 650-7232

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 39415 (NH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1588293682
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2020
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026

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