Active NPI
Marie F Jean, RDH
- Dental Hygienist
- Ridgewood, NY
National Provider Identifier
1023297074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 000909
- Practice address
- 5431 Myrtle Ave
Ridgewood, NY 11385-3403 - Phone
- (718) 456-7600
- Fax
- (718) 821-3976
- NPI assigned
- Oct 26, 2007
- Last updated
- Oct 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 000909 | NY | Primary |
Addresses
Primary practice location
5431 Myrtle Ave
Ridgewood, NY 11385-3403
Mailing address
18225 Wexford Ter Apt 405
Jamaica, NY 11432-3102
Phone (718) 739-2847
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000909 | NY | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ridgewood Dental Group | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Ridgewood, NY
- NPI 1164601266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193356800000",
"number": "1023297074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18225 WEXFORD TER APT 405",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114323102",
"telephone_number": "718-739-2847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5431 MYRTLE AVE",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113853403",
"telephone_number": "718-456-7600",
"fax_number": "718-821-3976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN",
"first_name": "MARIE",
"middle_name": "F",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-26",
"last_updated": "2007-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NY",
"license": "000909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgewood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.