Jennifer N. Reyes, DDS, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

055865 Issued in NY

Legal business name

JENNIFER N. REYES, DDS, PLLC

Doing business as

Fifty-Seven 57 Dental

Practice address

57 W 57TH St
Suite 511-512
New York, NY 10019-2802

Phone

(212) 935-0719

NPI assigned

Jul 22, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer N Reyes, DDS

Title

Dentist

Phone

(212) 935-0719

Specialties & licenses 1

Addresses

Other names 1

• Fifty-Seven 57 Dental Doing business as

Locations

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469145600000",
    "number": "1023461241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 W 57TH ST",
            "address_2": "SUITE 511-512",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192802",
            "telephone_number": "212-935-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W 57TH ST",
            "address_2": "SUITE 511-512",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192802",
            "telephone_number": "212-935-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER N. REYES, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-22",
        "last_updated": "2016-07-22",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "212-935-0719",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "055865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fifty-Seven 57 Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.