Individual provider Active NPI

Jennifer Jinmei Qian, DDS

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1023504768
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
063646 Issued in NY
Practice address
100 N Portland Ave
Brooklyn, NY 11205-2005
Phone
(844) 692-4692
Fax
(718) 260-7730
NPI assigned
Jul 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 063646 NY Primary

Addresses

Primary practice location

100 N Portland Ave
Brooklyn, NY 11205-2005

Mailing address

474 48TH Ave Apt 3BB
Long Island City, NY 11109-5602
Phone (443) 928-1350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250721001559 NY Practitioner - Dentist 3779099494 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation CurrentSince May 2, 2025 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients
New York City Health and Hospitals Corporation CurrentSince May 2, 2025 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
Thomas F Lindsey DDS PC Dentist PastSince Mar 1, 2021 Accepting new patients
Lifetime Dental Care of Maryland, Badger, P.C. General Practice PastSince Aug 1, 2019 Accepting new patients
Dental Passion LLC Dentist PastSince Jun 1, 2025 Accepting new patients

Locations

100 N Portland Ave
Brooklyn, NY 11205
Phone (718) 260-7500

815 Broadway
Brooklyn, NY 11206
Phone (646) 614-8200

8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929

50 Water St
Fl 3
New York, NY 10004

227 Madison St
New York, NY 10002
Phone (212) 238-7000

Interoperability endpoints

  • Direct secure messaging: jqian7032074@nychhc.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1023504768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 48TH AVE APT 3BB",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111095602",
            "telephone_number": "443-928-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N PORTLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112052005",
            "telephone_number": "844-692-4692",
            "fax_number": "718-260-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QIAN",
        "first_name": "JENNIFER",
        "middle_name": "JINMEI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "063646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.