Organization Active NPI

Quisqueya Dental PC

  • General Practice Dentistry
  • Richmond Hill, NY
National Provider Identifier
1013184613
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
044986 Issued in NY
Legal business name
QUISQUEYA DENTAL PC
Practice address
113-10 Jamaica Ave
1 FL
Richmond Hill, NY 11418-2440
Phone
(718) 847-8807
Fax
(718) 847-9464
NPI assigned
May 13, 2008
Organization subpart
Yes
Parent organization
QUISQUEYA DENTAL PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Miladys A Hernandez, DDS
Title
Dentist
Phone
(718) 847-8807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 044986 NY Primary

Addresses

Primary practice location

113-10 Jamaica Ave
1 FL
Richmond Hill, NY 11418-2440

Mailing address

113-10 Jamaica Ave
1 FL
Richmond Hill, NY 11418-2440
Phone (718) 847-8807

Other identifiers 1

IdentifierTypeStateIssuer
01439427MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Quisqueya Dental PC3 organizations share this tax ID, including this one
Part of
Quisqueya Dental PC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11310 Jamaica Ave
#1
Richmond Hill, NY 11418
Phone (718) 847-8807

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1013184613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113-10 JAMAICA AVE",
            "address_2": "1 FL",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182440",
            "telephone_number": "718-847-8807",
            "fax_number": "718-847-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113-10 JAMAICA AVE",
            "address_2": "1 FL",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182440",
            "telephone_number": "718-847-8807",
            "fax_number": "718-847-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUISQUEYA DENTAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUISQUEYA DENTAL PC",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MILADYS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-847-8807",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01439427",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.